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NPI 1245902352

NPI 1245902352 : TIMOTHY MCCURRY DC : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1245902352
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    Entity Type          |    Individual 
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    Provider Name        |    TIMOTHY MCCURRY DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/28/2021
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    Last Update Date     |    12/23/2022
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Provider Practice Location Address
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    Address Line         |    5000 E DRY CREEK RD 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80122-3805
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    Country              |    US
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    Telephone            |    172-048-9140
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4849 GREENVILLE AVE # 1180 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75206-4130
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    Country              |    US
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    Telephone            |    469-802-6055
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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       |    14897
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    License Number State |    TX
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