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General NPI Number Information
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NPI Number | 1669794350
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Entity Type | Organization
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Legal Business Name | FIELD'S CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 6160 TUTT BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3500
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Country | US
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Telephone | 719-440-7640
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Fax | 719-219-5879
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Provider Business Mailing Address
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Address Line | 6160 TUTT BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3500
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Country | US
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Telephone | 719-440-7640
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Fax | 719-219-5879
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN M FIELD
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Credential | D.C.
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Telephone | 719-440-7640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5598
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License Number State | CO
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