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General NPI Number Information
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NPI Number | 1356252258
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Entity Type | Organization
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Legal Business Name | COLORADO HEALTH INITIATIVE
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 140 S WILCOX ST STE D
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1940
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Country | US
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Telephone | 303-688-2300
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Fax | 303-688-2325
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Provider Business Mailing Address
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Address Line | 140 S WILCOX ST STE D
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1940
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Country | US
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Telephone | 303-688-2300
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Fax | 303-688-2325
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. CLINTON SAMUEL DICKASON
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Credential | DC
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Telephone | 303-915-7932
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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 |
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License Number State |
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