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General NPI Number Information
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NPI Number | 1215415567
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Entity Type | Organization
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Legal Business Name | SPRINGS NATURAL HEALING CO.
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 13570 MEADOWGRASS DR STE 105-13
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3057
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Country | US
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Telephone | 719-964-6160
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2211
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City | MONUMENT
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State | CO
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Zip | 80132-2260
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CINDY L SANDERS RONDEAU
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Credential | L.AC; DIPL. O.M.
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Telephone | 719-964-6160
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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 | ACU.0002392
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License Number State | CO
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