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General NPI Number Information
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NPI Number | 1386355097
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Entity Type | Organization
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Legal Business Name | PEAK CRAFTERS LLC
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 276 HORIZON WAY
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City | ERIE
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State | CO
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Zip | 80516-2709
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Country | US
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Telephone | 303-720-6598
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Fax |
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Provider Business Mailing Address
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Address Line | 276 HORIZON WAY
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City | ERIE
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State | CO
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Zip | 80516-2709
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Country | US
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Telephone | 303-720-6598
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ENGDAHL
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Credential |
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Telephone | 562-644-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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