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General NPI Number Information
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NPI Number | 1265386353
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Entity Type | Organization
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Legal Business Name | PAIKULI WELLNESS CENTER LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 2130 S ACADEMY BLVD STE 201
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City | COLORADO SPRINGS
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State | CO
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Zip | 80916-2473
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Country | US
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Telephone | 719-413-8127
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Fax |
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Provider Business Mailing Address
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Address Line | 8214 CASSABELLA CT
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City | FOUNTAIN
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State | CO
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Zip | 80817-4245
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Country | US
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Telephone | 719-412-8127
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN PAIKULI-STRIDE
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Credential | LMT
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Telephone | 719-413-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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