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General NPI Number Information
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NPI Number | 1184180317
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Entity Type | Organization
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Legal Business Name | MEDIKAR LLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 2860 S CIRCLE DR STE 160
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4127
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Country | US
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Telephone | 719-433-9914
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Fax | 719-344-2058
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Provider Business Mailing Address
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Address Line | 2860 S CIRCLE DR STE 160
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4127
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Country | US
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Telephone | 719-433-9914
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Fax | 719-344-2058
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. AARRON CARTER
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Credential |
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Telephone | 719-328-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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