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General NPI Number Information
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NPI Number | 1083972574
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Entity Type | Organization
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Legal Business Name | LIFE SYMMETRY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 3707 PARKMOOR VILLAGE DR SUITE 101
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-6251
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Country | US
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Telephone | 719-271-1868
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Fax | 719-572-9991
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Provider Business Mailing Address
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Address Line | 3707 PARKMOOR VILLAGE DR STE 101
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5203
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Country | US
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Telephone | 719-271-1868
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Fax | 719-572-9991
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL SCHUNEMAN
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Credential | DC
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Telephone | 719-271-1868
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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 |
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