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General NPI Number Information
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NPI Number | 1023235199
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Entity Type | Organization
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Legal Business Name | JENIK ENTERPRISES
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6270 LEHMAN DR SUITE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1469
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Country | US
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Telephone | 719-266-6530
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Fax | 719-266-6151
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Provider Business Mailing Address
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Address Line | 3320 W WOODMEN RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-4507
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Country | US
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Telephone | 719-266-6530
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Fax | 719-266-6151
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Authorized Official
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Title or Position | MANAGER
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Name | DR. LOUIS EDWARD JENIK
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Credential | D.C.
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Telephone | 719-266-6530
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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 | 4490
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License Number State | CO
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