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General NPI Number Information
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NPI Number | 1477429645
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Entity Type | Organization
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Legal Business Name | NOVA REGENERATIVE MEDICINE, LLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 6001 E WOODMEN RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2601
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Country | US
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Telephone | 719-571-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1913
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City | MONUMENT
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State | CO
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Zip | 80132-1913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER COULTER
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Credential | DO
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Telephone | 407-421-8051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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