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General NPI Number Information
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NPI Number | 1205024411
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Entity Type | Organization
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Legal Business Name | DTC SPINAL HEALTH CLINIC
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 7180 E ORCHARD RD SUITE 205
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City | CENTENNIAL
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State | CO
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Zip | 80111-1724
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Country | US
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Telephone | 303-221-3900
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Fax | 303-221-3912
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Provider Business Mailing Address
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Address Line | 7180 E ORCHARD RD SUITE 205
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City | CENTENNIAL
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State | CO
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Zip | 80111-1724
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Country | US
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Telephone | 303-221-3900
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Fax | 303-221-3912
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBRA A BUTLER
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Credential |
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Telephone | 303-221-3900
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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 | 4903
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License Number State | CO
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