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NPI Code Detail

MEDICARE: CARA KRZEMIEN

MEDICARE:   CARA  KRZEMIEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1649685959
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA KRZEMIEN
Provider Business Mailing Address
First Line : 926 EAST LASALLE STREET
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907
Country : US
Telephone Number : 719-203-6903
Fax Number : 719-203-6904
Provider Business Practice Location Address
First Line : 2760 FIELDSTONE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3100
Country : US
Telephone Number : 719-203-6903
Fax Number : 719-203-6904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2014
Last Update Date : 06/25/2014

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