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NPI 1164933099

NPI 1164933099 : BACKUPUNCTURE LLC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1164933099
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    Entity Type          |    Organization 
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    Legal Business Name  |    BACKUPUNCTURE LLC 
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Dates
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    Enumeration Date     |    10/18/2017
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    Last Update Date     |    03/12/2025
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Provider Practice Location Address
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    Address Line         |    950 S CHERRY ST STE 1675
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80246-3604
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    Country              |    US
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    Telephone            |    720-370-2711
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    Fax                  |    720-370-2925
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Provider Business Mailing Address
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    Address Line         |    1444 MONACO PKWY 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80220
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    Country              |    US
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    Telephone            |    720-370-2711
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    Fax                  |    720-370-2925
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. BENJAMIN B HAWES 
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    Credential           |    LAC
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    Telephone            |    970-946-7473
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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       |    897
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    License Number State |    CO
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