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General NPI Number Information
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NPI Number | 1265897359
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Entity Type | Organization
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Legal Business Name | HOPE DAMANSKIS
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 2230 YANKTON PL
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-4829
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Country | US
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Telephone | 484-345-1334
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 YANKTON PL
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-4829
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Country | US
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Telephone | 484-345-1334
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | HOPE DAMANSKIS
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Credential |
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Telephone | 484-345-1334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | MT.0017720
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License Number State | CO
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