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General NPI Number Information
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NPI Number | 1265804777
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Entity Type | Organization
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Legal Business Name | GO CHIROPRACTIC
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 1057 S WADSWORTH BLVD SUITE 40
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City | LAKEWOOD
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State | CO
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Zip | 80226-4360
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Country | US
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Telephone | 303-233-1236
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Fax | 303-233-1084
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Provider Business Mailing Address
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Address Line | 1057 S WADSWORTH BLVD SUITE 40
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City | LAKEWOOD
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State | CO
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Zip | 80226-4360
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Country | US
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Telephone | 303-233-1236
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Fax | 303-233-1084
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD A KIRKPATRICK
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Credential | D.C.
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Telephone | 303-233-1236
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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 | 7147
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License Number State | CO
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