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General NPI Number Information
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NPI Number | 1578195335
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Entity Type | Organization
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Legal Business Name | INSPIRATION FIELD
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 612 ADAMS AVE
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City | LA JUNTA
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State | CO
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Zip | 81050-2535
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Country | US
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Telephone | 719-384-8741
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Fax | 719-384-4278
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Provider Business Mailing Address
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Address Line | 612 ADAMS AVE
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City | LA JUNTA
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State | CO
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Zip | 81050-2535
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Country | US
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Telephone | 719-384-8741
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Fax | 719-384-4278
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ROSA SALO
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Credential |
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Telephone | 719-384-8741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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