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General NPI Number Information
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NPI Number | 1447750179
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Entity Type | Individual
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Provider Name | KERI LYNN DENNISON DC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 1815 CENTRAL PARK DR UNIT 101A
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8885
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Country | US
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Telephone | 970-717-0012
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770691
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-0691
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Country | US
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Telephone | 970-717-0012
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007725
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License Number State | CO
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