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General NPI Number Information
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NPI Number | 1376713487
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Entity Type | Organization
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Legal Business Name | SPRINGS CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 1802 CHAPEL HILLS DR SUITE E
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3765
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Country | US
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Telephone | 719-531-7188
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Fax | 719-531-0880
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Provider Business Mailing Address
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Address Line | 1802 CHAPEL HILLS DR SUITE E
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3765
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Country | US
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Telephone | 719-531-7188
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Fax | 719-531-0880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANDY R. KNOCHE
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Credential | D.C.
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Telephone | 719-531-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2567
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License Number State | CO
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