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General NPI Number Information
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NPI Number | 1972040996
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Entity Type | Organization
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Legal Business Name | PRECISION MANUEL THERAPY AND REHAB LLC
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Dates
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Enumeration Date | 01/28/2017
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 7710 N UNION BLVD STE 100D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-4085
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Country | US
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Telephone | 719-659-2503
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 N UNION BLVD STE 100D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-4085
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Country | US
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Telephone | 719-659-2503
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID ERIC BUECHLER JR.
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Credential | LMT
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Telephone | 719-659-2503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MT0010450
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License Number State | CO
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