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General NPI Number Information
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NPI Number | 1740305002
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Entity Type | Individual
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Provider Name | MICHELLE MARIE NOWAKOWSKI DC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6189 LEHMAN DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-5409
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Country | US
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Telephone | 719-290-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 6189 LEHMAN DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-5409
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Country | US
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Telephone | 719-290-1441
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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 | CHR-0007266
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License Number State | CO
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