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NPI 1093836660

NPI 1093836660 : CAMERON S LICHFIELD D.C. : LITTLETON, CO

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General NPI Number Information
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    NPI Number           |    1093836660
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    Entity Type          |    Individual 
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    Provider Name        |    CAMERON S LICHFIELD D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/02/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    10789 BRADFORD RD STE 110 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80127-6404
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    Country              |    US
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    Telephone            |    303-904-8641
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    Fax                  |    303-904-8793
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Provider Business Mailing Address
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    Address Line         |    9633 S DUDLEY WAY 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80127-8522
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    Country              |    US
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    Telephone            |    720-981-1275
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    4662
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    License Number State |    CO
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