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General NPI Number Information
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NPI Number | 1023150737
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Entity Type | Organization
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Legal Business Name | SECURITY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1825 MAIN ST STE C
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-1100
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Country | US
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Telephone | 719-390-5008
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Fax | 719-390-9321
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Provider Business Mailing Address
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Address Line | 1825 MAIN ST STE C
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-1100
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Country | US
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Telephone | 719-390-5008
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Fax | 719-390-9321
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN C BAHRENBURG
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Credential | D.C.
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Telephone | 719-390-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | CO
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