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General NPI Number Information
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NPI Number | 1134353097
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Entity Type | Organization
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Legal Business Name | DEREK RICE DC, LLC
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 7500 W MISSISSIPPI AVE SUITE B120
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City | LAKEWOOD
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State | CO
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Zip | 80226-4550
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Country | US
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Telephone | 303-922-7946
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Fax | 303-922-7950
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Provider Business Mailing Address
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Address Line | 7500 W MISSISSIPPI AVE SUITE B120
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City | LAKEWOOD
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State | CO
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Zip | 80226-4550
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Country | US
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Telephone | 303-922-7946
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Fax | 303-922-7950
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. DEREK L RICE
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Credential | DC
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Telephone | 303-922-7946
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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 | 5358
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License Number State | CO
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