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General NPI Number Information
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NPI Number | 1700180320
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Entity Type | Organization
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Legal Business Name | BECCO CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/23/2010
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Last Update Date | 12/23/2010
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Provider Practice Location Address
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Address Line | 1819 W COLORADO AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3836
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Country | US
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Telephone | 719-471-4174
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Fax | 719-633-2198
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Provider Business Mailing Address
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Address Line | 1819 W COLORADO AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3836
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Country | US
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Telephone | 719-471-4174
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Fax | 719-633-2198
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY J BECCO
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Credential | D,C,
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Telephone | 719-471-4174
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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 | 3970
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2465
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License Number State | CO
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