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General NPI Number Information
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NPI Number | 1962543074
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Entity Type | Individual
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Provider Name | BETH LYNN KALIMBA PT
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 5588 S NETHERLAND ST
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City | CENTENNIAL
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State | CO
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Zip | 80015-3328
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Country | US
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Telephone | 573-239-2297
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Fax |
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Provider Business Mailing Address
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Address Line | 5588 S NETHERLAND ST
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City | CENTENNIAL
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State | CO
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Zip | 80015-3328
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Country | US
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Telephone | 573-239-2297
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2002018263
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PTL0011182
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License Number State | CO
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