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General NPI Number Information
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NPI Number | 1467995357
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Entity Type | Organization
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Legal Business Name | PIKES PEAK CAB LLC
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 2739 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6220
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Country | US
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Telephone | 719-888-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2739 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6220
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Country | US
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Telephone | 719-888-9000
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER/GM
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Name | TAMARA ZVONKOVICH
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Credential |
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Telephone | 719-888-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 55884
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License Number State | CO
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