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General NPI Number Information
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NPI Number | 1922366889
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Entity Type | Organization
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Legal Business Name | HEALTH CONNECTIONS OF CASTLE ROCK, INC.
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 323 METZLER DR #105
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City | CASTLE ROCK
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State | CO
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Zip | 80104
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Country | US
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Telephone | 303-663-3702
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Fax |
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Provider Business Mailing Address
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Address Line | 88 N BAY BLVD
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City | SPRING
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State | TX
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Zip | 77380-1070
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN JOHNSON
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Credential |
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Telephone | 916-765-0910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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