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General NPI Number Information
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NPI Number | 1003209206
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Entity Type | Organization
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Legal Business Name | SPRINGS CHIROPRACTIC HEALTH, INC.
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 6645 DELMONICO DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919
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Country | US
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Telephone | 719-598-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6645 DELMONICO DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-1892
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Country | US
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Telephone | 719-598-5000
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Fax | 719-213-2728
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | SPENCER STOREY
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Credential | DC
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Telephone | 719-598-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0007256
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License Number State | CO
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