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General NPI Number Information
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NPI Number | 1962720532
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Entity Type | Organization
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Legal Business Name | MILESTONES, LLC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 260 COTTONWOOD PASS RD
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City | GYPSUM
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State | CO
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Zip | 81637-9709
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Country | US
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Telephone | 970-331-2632
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Fax | 970-328-4472
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Provider Business Mailing Address
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Address Line | 260 COTTONWOOD PASS RD
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City | GYPSUM
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State | CO
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Zip | 81637-9709
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Country | US
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Telephone | 970-331-2632
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Fax | 970-328-4472
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Authorized Official
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Title or Position | MANAGER
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Name | MS. TAMMY A RODELL
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Credential | PT
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Telephone | 970-331-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6546
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License Number State | CO
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