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General NPI Number Information
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NPI Number | 1265786040
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Entity Type | Organization
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Legal Business Name | TAPG INC.
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 1255 LAKE PLAZA DR #269
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3500
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Country | US
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Telephone | 719-538-6027
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Fax | 719-344-2328
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Provider Business Mailing Address
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Address Line | 1255 LAKE PLAZA DR #269
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3500
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Country | US
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Telephone | 719-538-6027
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Fax | 719-344-2328
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TAMARA ANN GORMAN
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Credential | MS,CCC-SLP
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Telephone | 719-538-6027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State | CO
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