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General NPI Number Information
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NPI Number | 1386827533
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Entity Type | Organization
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Legal Business Name | STEINBACH CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 805 N WEBER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2918
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Country | US
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Telephone | 719-574-5500
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Fax | 719-471-9053
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Provider Business Mailing Address
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Address Line | 805 N WEBER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2918
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Country | US
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Telephone | 719-574-5500
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Fax | 719-471-9053
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TAMARA MARIE STEINBACH
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Credential | DC
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Telephone | 719-574-5500
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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 | 4968
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License Number State | CO
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