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General NPI Number Information
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NPI Number | 1245668821
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Entity Type | Organization
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Legal Business Name | DENVER ACUPUNCTURE & SPORTS MEDICINE
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Dates
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Enumeration Date | 10/17/2013
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 1872 S PEARL ST
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City | DENVER
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State | CO
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Zip | 80210-3137
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Country | US
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Telephone | 720-665-7127
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Fax | 720-222-5555
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Provider Business Mailing Address
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Address Line | 3610 MEADE ST
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City | DENVER
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State | CO
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Zip | 80211-2755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | DR. SCOTT RICHARDSON
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Credential | DAOM
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Telephone | 619-861-8287
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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 | 1756
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License Number State | CO
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