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General NPI Number Information
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NPI Number | 1407229701
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Entity Type | Individual
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Provider Name | ANTHONY PAUL GURULE JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 1255 CIMARRON DR STE 201
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City | LAFAYETTE
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State | CO
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Zip | 80026-1283
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Country | US
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Telephone | 303-717-6323
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 CO-42, SUITE A
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City | LOUISVILLE
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State | CO
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Zip | 80027
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Country | US
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Telephone | 303-717-6323
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CHR.0007332
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License Number State | CO
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