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General NPI Number Information
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NPI Number | 1033357140
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Entity Type | Individual
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Provider Name | CHRIS ALLEN CARLISLE CSFA
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Gender | Male
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 7720 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-2632
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Country | US
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Telephone | 303-814-1339
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Fax | 720-389-6158
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Provider Business Mailing Address
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Address Line | PO BOX 215
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City | CASTLE ROCK
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State | CO
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Zip | 80104-0215
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Country | US
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Telephone | 303-814-1339
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Fax | 720-389-6158
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 96972
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License Number State |
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