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General NPI Number Information
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NPI Number | 1467723338
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Entity Type | Organization
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Legal Business Name | DODY CHIROPRACTIC CENTER FOR WHOLENESS PC
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 3625 W BOWLES AVE UNIT 18
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City | LITTLETON
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State | CO
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Zip | 80123-2899
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Country | US
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Telephone | 303-794-1737
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Fax |
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Provider Business Mailing Address
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Address Line | 3625 W BOWLES AVE UNIT 18
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City | LITTLETON
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State | CO
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Zip | 80123-2899
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Country | US
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Telephone | 303-794-1737
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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. MICHAEL DODY
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Credential | D.C.
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Telephone | 303-794-1737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CO5431
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License Number State | CO
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