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General NPI Number Information
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NPI Number | 1407115512
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Entity Type | Organization
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Legal Business Name | MERIDIAN CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 2750 S WADSWORTH BLVD SUITE C109
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City | LAKEWOOD
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State | CO
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Zip | 80227-3480
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Country | US
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Telephone | 720-963-1200
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Fax | 720-963-1223
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Provider Business Mailing Address
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Address Line | 2750 S WADSWORTH BLVD SUITE C109
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City | LAKEWOOD
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State | CO
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Zip | 80227-3480
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Country | US
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Telephone | 720-963-1200
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Fax | 720-963-1223
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTIN K HOFFMAN
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Credential | DC
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Telephone | 720-963-1200
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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 | 4856
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License Number State | CO
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