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General NPI Number Information
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NPI Number | 1689316390
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Entity Type | Individual
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Provider Name | MICHAEL DIGREGORIO DC
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Gender | Male
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 4657 CENTENNIAL BLVD STE 110
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3350
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Country | US
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Telephone | 316-993-2607
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 GOLDEN CURRANT VW APT 104
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-9055
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Country | US
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Telephone |
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0008474
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License Number State | CO
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