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General NPI Number Information
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NPI Number | 1700914967
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Entity Type | Individual
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Provider Name | DAVID MICHAEL CARLSON D.C., P.C.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 3030 N HANCOCK AVE SUITE D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-5761
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Country | US
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Telephone | 719-632-1589
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Fax | 719-632-1655
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Provider Business Mailing Address
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Address Line | 3030 N HANCOCK ST. SUITE D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907
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Country | US
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Telephone | 719-632-1589
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Fax | 719-632-1655
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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 | 3713
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License Number State | CO
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