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General NPI Number Information
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NPI Number | 1184962938
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Entity Type | Individual
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Provider Name | JAMES STEPHEN GRAMMER SR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 12/25/2014
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Provider Practice Location Address
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Address Line | 4671 CENTENNIAL BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3304
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Country | US
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Telephone | 719-476-0873
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Fax |
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Provider Business Mailing Address
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Address Line | 6855 HOLT DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922-1607
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Country | US
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Telephone | 385-225-4359
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2804381202
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4349
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007194
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License Number State | CO
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