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General NPI Number Information
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NPI Number | 1043499023
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Entity Type | Organization
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Legal Business Name | REM COLORADO, INC.
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 4815 LIST DR SUITE 116
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3310
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Country | US
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Telephone | 719-266-1084
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Fax | 719-266-0623
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Provider Business Mailing Address
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Address Line | 4815 LIST DR SUITE 116
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3310
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Country | US
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Telephone | 719-266-1084
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Fax | 719-266-0623
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. CHRIS CUTLER
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Credential |
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Telephone | 618-529-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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