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General NPI Number Information
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NPI Number | 1205122090
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Entity Type | Organization
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Legal Business Name | DOCSPITZ PERFORMANCE CLINIC
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 13982 W BOWLES AVE SUITE 102
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City | LITTLETON
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State | CO
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Zip | 80127-1444
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Country | US
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Telephone | 303-932-2225
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Fax | 720-922-7761
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Provider Business Mailing Address
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Address Line | 13982 W BOWLES AVE SUITE 102
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City | LITTLETON
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State | CO
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Zip | 80127-1444
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Country | US
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Telephone | 303-932-2225
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Fax | 720-922-7761
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Authorized Official
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Title or Position | OWNER
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Name | AARON T SPITZLBERGER
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Credential | D.C.
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Telephone | 303-932-2225
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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 | 6669
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License Number State | CO
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