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General NPI Number Information
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NPI Number | 1386981587
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Entity Type | Organization
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Legal Business Name | NEDERLAND CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 20 LAKEVIEW DR SUITE 204B
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City | NEDERLAND
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State | CO
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Zip | 80466-0677
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Country | US
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Telephone | 303-258-7730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 677
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City | NEDERLAND
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State | CO
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Zip | 80466-0677
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Country | US
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Telephone | 303-258-7730
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CATHERINE VALEN
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Credential | D.C.
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Telephone | 303-258-7739
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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 | 2596
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License Number State | CO
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