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General NPI Number Information
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NPI Number | 1467968289
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Entity Type | Organization
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Legal Business Name | CASTLE ROCK INTEGRATED HEALTH, INC
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 12/15/2017
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Provider Practice Location Address
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Address Line | 1 OAKWOOD PARK PLZ STE 206
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1849
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Country | US
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Telephone | 303-858-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OAKWOOD PARK PLZ STE 206
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1849
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Country | US
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Telephone | 303-858-8288
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | RYAN HEATH HELMS
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Credential | DC
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Telephone | 303-858-8288
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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.004793
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0005984-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0049380
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License Number State | CO
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