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General NPI Number Information
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NPI Number | 1033638267
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Entity Type | Individual
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Provider Name | CHRIS DYER L.AC.
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Gender | Male
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 09/19/2017
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Provider Practice Location Address
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Address Line | 27 DENVER WAY APT 9
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City | LONGMONT
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State | CO
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Zip | 80503-2240
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Country | US
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Telephone | 303-241-8570
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Fax |
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Provider Business Mailing Address
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Address Line | 27 DENVER WAY APT 9
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City | LONGMONT
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State | CO
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Zip | 80503-2240
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Country | US
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Telephone | 303-241-8570
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU.0002124
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License Number State | CO
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