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General NPI Number Information
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NPI Number | 1205455797
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Entity Type | Individual
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Provider Name | CHLOE ANDREWS GOLDBERG L.AC. DIPL. OM
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Gender | Female
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 1435 W 29TH ST STE 600
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City | LOVELAND
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State | CO
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Zip | 80538-2403
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Country | US
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Telephone | 970-966-8421
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 N LINCOLN AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4849
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Country | US
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Telephone | 203-947-3615
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2586
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License Number State | CO
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