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General NPI Number Information
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NPI Number | 1518244672
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Entity Type | Organization
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Legal Business Name | EVERYBODYS SOLUTION LLC
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 109 BROOKDALE AVE SUITE A
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City | BUENA VISTA
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State | CO
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Zip | 81211-9616
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Country | US
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Telephone | 719-207-6694
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Fax | 855-291-7480
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Provider Business Mailing Address
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Address Line | PO BOX 1874
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City | LEADVILLE
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State | CO
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Zip | 80461-1874
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Country | US
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Telephone | 719-207-6694
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Fax | 855-291-7480
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | CONSTANCE L GABLE
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Credential | APN
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Telephone | 719-207-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | NP5090
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License Number State | CO
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