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General NPI Number Information
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NPI Number | 1841688058
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Entity Type | Organization
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Legal Business Name | THRIVE WELLNESS CENTRE
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 3540 AUSTIN BLUFFS PKWY STE 7 & 8
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-5731
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Country | US
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Telephone | 719-271-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 5523 MAJESTIC DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3505
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Country | US
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Telephone | 719-322-7988
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JOHN ZIEHR
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Credential | D.C.
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Telephone | 719-271-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CHR.0007169
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License Number State | CO
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