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General NPI Number Information
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NPI Number | 1124496237
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Entity Type | Organization
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Legal Business Name | CYNERGY CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 980 N GRANT ST
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City | DENVER
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State | CO
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Zip | 80203-2907
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Country | US
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Telephone | 303-832-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 980 N GRANT ST
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City | DENVER
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State | CO
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Zip | 80203-2907
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Country | US
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Telephone | 303-832-3668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALISON MILBAUER
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Credential |
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Telephone | 303-832-3668
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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 | 6837
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License Number State | CO
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