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General NPI Number Information
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NPI Number | 1952887051
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Entity Type | Organization
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Legal Business Name | PRIZE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 8145 BIRCH DR
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City | RYE
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State | CO
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Zip | 81069-8809
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Country | US
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Telephone | 612-440-6016
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Fax |
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Provider Business Mailing Address
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Address Line | 8145 BIRCH DR
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City | RYE
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State | CO
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Zip | 81069-8809
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Country | US
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Telephone | 612-440-6016
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KAREN MALONE
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Credential | PT, DPT
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Telephone | 612-440-6016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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