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General NPI Number Information
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NPI Number | 1316110794
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Entity Type | Organization
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Legal Business Name | LOVELAND WHOLISTIC HEALTH CENTER, INC.
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 1047 N LINCOLN AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4844
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Country | US
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Telephone | 970-667-3393
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Fax | 970-667-5089
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Provider Business Mailing Address
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Address Line | 1047 N LINCOLN AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4844
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Country | US
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Telephone | 970-667-3393
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Fax | 970-667-5089
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEE WHITTEMORE
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Credential | D.C.
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Telephone | 970-667-3393
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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 | 2371
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License Number State | CO
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