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General NPI Number Information
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NPI Number | 1053226787
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Entity Type | Organization
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Legal Business Name | BLUE CHIP CHIROPRACTIC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 6885 TUTT BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3687
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Country | US
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Telephone | 719-922-2207
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Fax |
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Provider Business Mailing Address
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Address Line | 10126 ANGELES RD
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City | PEYTON
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State | CO
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Zip | 80831-8483
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Country | US
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Telephone | 719-922-2207
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. SAMUEL NELSON
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Credential | D.C.
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Telephone | 719-922-2207
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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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