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General NPI Number Information
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NPI Number | 1013629922
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Entity Type | Organization
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Legal Business Name | SPINEBODYSPIRIT PLLC
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 88 INVERNESS CIR E UNIT I108
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5515
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Country | US
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Telephone | 602-616-1602
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Fax |
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Provider Business Mailing Address
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Address Line | 88 INVERNESS CIR E UNIT I108
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5515
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Country | US
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Telephone | 602-616-1602
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Fax |
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Authorized Official
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Title or Position | OWNER, DOCTOR
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Name | DR. ADRIENNE M FRAZER
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Credential | DC
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Telephone | 602-616-1602
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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 |
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License Number State |
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