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General NPI Number Information
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NPI Number | 1598066383
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Entity Type | Organization
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Legal Business Name | COLORADO SPRINGS THERAPEUTIC RIDING CENTER
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 3254 PASEO RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1050
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Country | US
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Telephone | 719-634-4173
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Fax | 719-477-0461
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Provider Business Mailing Address
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Address Line | 3254 PASEO RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1050
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Country | US
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Telephone | 719-634-4173
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Fax | 719-477-0461
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NANCY HARRISON
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Credential |
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Telephone | 719-634-4173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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