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General NPI Number Information
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NPI Number | 1356068191
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Entity Type | Organization
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Legal Business Name | AKTIV HEALTH MCPHERSON
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 3457 RINGSBY CT
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City | DENVER
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State | CO
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Zip | 80216-4900
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Country | US
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Telephone | 361-793-1957
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Fax |
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Provider Business Mailing Address
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Address Line | 698 E HINSDALE AVE
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City | LITTLETON
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State | CO
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Zip | 80122-3489
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Country | US
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Telephone | 361-793-1957
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CAYLEM MCPHERSON
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Credential | DC
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Telephone | 361-793-1957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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