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General NPI Number Information
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NPI Number | 1912680190
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Entity Type | Individual
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Provider Name | BROOKE DANAE BJORGUM DPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 502 E PIKES PEAK AVE STE 110
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3697
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Country | US
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Telephone | 719-473-2958
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Fax | 194-731-0047
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Provider Business Mailing Address
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Address Line | 2 OAKWOOD PARK PLZ STE 200
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1885
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Country | US
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Telephone | 720-788-7365
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Fax | 720-294-0284
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0019294
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License Number State | CO
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