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General NPI Number Information
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NPI Number | 1841700705
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Entity Type | Organization
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Legal Business Name | SALUTOGENIX INC.
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 611 N WEBER ST STE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1072
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Country | US
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Telephone | 719-301-9650
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Fax | 719-299-7575
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Provider Business Mailing Address
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Address Line | 611 N WEBER ST STE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1072
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Country | US
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Telephone | 719-301-9650
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Fax | 719-299-7575
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | JOHN STENBERG
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Credential | DC
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Telephone | 719-301-9650
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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.00007473
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License Number State | CO
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