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General NPI Number Information
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NPI Number | 1588017578
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Entity Type | Individual
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Provider Name | MICHAEL ROSEN-PYROS D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 255 W ABRIENDO AVE
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City | PUEBLO
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State | CO
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Zip | 81004-1870
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Country | US
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Telephone | 719-544-1468
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Fax | 719-543-2357
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Provider Business Mailing Address
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Address Line | 255 W ABRIENDO AVE
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City | PUEBLO
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State | CO
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Zip | 81004-1870
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Country | US
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Telephone | 719-544-1468
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Fax | 719-543-2357
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 0006267
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License Number State | CO
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