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General NPI Number Information
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NPI Number | 1538683537
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Entity Type | Individual
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Provider Name | BRIAN TOLSMA CPO
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Gender | Male
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 384 E GARDEN OF THE GODS RD STE 140
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4243
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Country | US
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Telephone | 719-301-8198
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Fax |
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Provider Business Mailing Address
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Address Line | 384 E GARDEN OF THE GODS RD STE 140
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4243
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | CPO3173
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | CPO3173
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License Number State |
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