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NPI 1053431197

NPI 1053431197 : TING & NICKOLAS ENTERPRISES, LLC : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1053431197
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    Entity Type          |    Organization 
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    Legal Business Name  |    TING & NICKOLAS ENTERPRISES, LLC 
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Dates
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    Enumeration Date     |    03/30/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    7710 N UNION BLVD SUITE 100
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80920-4030
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    Country              |    US
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    Telephone            |    719-559-4550
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    Fax                  |    719-559-4551
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Provider Business Mailing Address
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    Address Line         |    4855 CHARIOT DR 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80918-8706
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    Country              |    US
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    Telephone            |    719-264-7696
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    Fax                  |    719-559-4551
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. DEBBIE HSIAO KI TING 
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    Credential           |    L.AC
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    Telephone            |    719-559-4550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    CO 961
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    License Number State |    CO
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