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General NPI Number Information
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NPI Number | 1346438579
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Entity Type | Organization
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Legal Business Name | FIT BODY SPINE AND NUTRITION CENTER, P.C.
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 2696 S COLORADO BLVD SUITE 440
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City | DENVER
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State | CO
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Zip | 80222-5945
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Country | US
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Telephone | 303-770-6671
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Fax | 303-770-6653
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Provider Business Mailing Address
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Address Line | 2696 S COLORADO BLVD SUITE 440
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City | DENVER
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State | CO
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Zip | 80222-5945
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Country | US
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Telephone | 303-770-6671
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Fax | 303-770-6653
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHANY MARIE CREED
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Credential | D.C.
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Telephone | 303-770-6671
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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 | 5935
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License Number State | CO
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