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General NPI Number Information
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NPI Number | 1932425444
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Entity Type | Individual
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Provider Name | TERESA YORK MATTHEWS OTR
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Gender | Female
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 7200 S ALTON WAY STE C 250
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City | CENTENNIAL
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State | CO
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Zip | 80112-2201
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Country | US
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Telephone | 720-489-0790
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Fax |
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Provider Business Mailing Address
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Address Line | 9298 UTE DR
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City | GOLDEN
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State | CO
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Zip | 80403-8365
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Country | US
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Telephone |
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 810
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License Number State | CO
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