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General NPI Number Information
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NPI Number | 1225693955
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Entity Type | Individual
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Provider Name | FORREST ALLEN DC
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Gender | Male
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 5690 DTC BLVD STE 220E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3234
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Country | US
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Telephone | 303-335-9540
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 HILLTOP RD
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City | EVERGREEN
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State | CO
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Zip | 80439-5851
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Country | US
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Telephone | 406-599-0084
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5602
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 6233
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0008705
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License Number State | CO
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