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General NPI Number Information
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NPI Number | 1609114560
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Entity Type | Organization
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Legal Business Name | SENSIBLE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 01/27/2013
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Last Update Date | 01/27/2013
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Provider Practice Location Address
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Address Line | 1880 DUBLIN BLVD STE E
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1224
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Country | US
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Telephone | 719-422-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 9951 CUB LAKE TRL
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-1213
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Country | US
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Telephone | 719-422-3346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL ALLEN STABILE JR.
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Credential | D.C.
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Telephone | 719-422-3346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0006945
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License Number State | CO
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