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General NPI Number Information
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NPI Number | 1336325901
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Entity Type | Organization
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Legal Business Name | ALPINE CHIROPRACTIC & SOFT TISSUE DIAGNOSTIC CENTER
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 41191 US HWY 6 & 24
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City | AVON
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State | CO
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Zip | 81620
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Country | US
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Telephone | 970-949-6244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 699
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City | VAIL
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State | CO
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Zip | 81658-0699
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Country | US
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Telephone | 970-949-6244
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL CHESNEY
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Credential | DC
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Telephone | 970-949-6244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5157
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License Number State | CO
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