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General NPI Number Information
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NPI Number | 1376556548
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Entity Type | Organization
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Legal Business Name | SYMKA INC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 2810 JANITELL RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4141
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Country | US
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Telephone | 719-634-1253
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Fax | 719-634-1254
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Provider Business Mailing Address
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Address Line | 3107 W COLORADO AVE #109
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904
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Country | US
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Telephone | 719-634-1253
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Fax | 719-634-1254
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CORI HARTLEY
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Credential |
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Telephone | 719-634-1253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 41846030000
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License Number State | CO
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