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NPI 1922403427

NPI 1922403427 : ARAPAHOE PEAK PHYSICAL THERAPY, LLC : EVERGREEN, CO

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General NPI Number Information
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    NPI Number           |    1922403427
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARAPAHOE PEAK PHYSICAL THERAPY, LLC 
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Dates
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    Enumeration Date     |    10/27/2014
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    Last Update Date     |    10/27/2014
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Provider Practice Location Address
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    Address Line         |    32003 ELLINGWOOD TRAIL 
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    City                 |    EVERGREEN
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    State                |    CO
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    Zip                  |    80439
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    Country              |    US
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    Telephone            |    303-679-6505
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    28000 MEADOW DR SUITE 210
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    City                 |    EVERGREEN
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    State                |    CO
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    Zip                  |    80439-8395
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    Country              |    US
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    Telephone            |    303-679-6505
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     DAVID  SAVALA 
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    Credential           |    
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    Telephone            |    303-679-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    6621
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    License Number State |    CO
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