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General NPI Number Information
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NPI Number | 1154613800
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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 | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 7621 AUSTIN BLUFFS PKWY SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-2906
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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 | 7621 AUSTIN BLUFFS PKWY SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-2906
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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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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBBIE TING
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Credential |
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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 | 961
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License Number State | CO
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