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General NPI Number Information
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NPI Number | 1619435468
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Entity Type | Individual
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Provider Name | LINDA HENGEN MARGRAVE LMT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 1519 E BOULDER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5663
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Country | US
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Telephone | 719-510-5302
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Fax | 719-960-2085
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Provider Business Mailing Address
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Address Line | 1519 E BOULDER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5663
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Country | US
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Telephone | 719-510-5302
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Fax | 719-960-2085
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0018625
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License Number State | CO
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