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General NPI Number Information
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NPI Number | 1366680753
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE OF COLORADO INC
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 606 SOUTH 4TH AVENUE
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City | BRIGHTON
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State | CO
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Zip | 80601
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Country | US
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Telephone | 303-659-0805
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Fax | 303-659-2676
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Provider Business Mailing Address
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Address Line | 606 SOUTH 4TH AVENUE
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City | BRIGHTON
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State | CO
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Zip | 80601
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Country | US
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Telephone | 303-659-0805
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Fax | 303-659-2676
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY R GAPPA
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Credential | D.C.
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Telephone | 303-659-0805
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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 | 3285
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License Number State | CO
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