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General NPI Number Information
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NPI Number | 1023405453
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Entity Type | Organization
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Legal Business Name | DENVER NATUROPATHIC CLINIC
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 1181 S PARKER RD STE 101
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City | DENVER
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State | CO
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Zip | 80231-2152
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Country | US
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Telephone | 303-337-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 1181 S PARKER RD STE 101
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City | DENVER
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State | CO
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Zip | 80231-2152
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Country | US
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Telephone | 303-337-4884
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACOB J SCHOR
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Credential | ND
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Telephone | 303-337-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 755
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 57
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License Number State | CO
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