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General NPI Number Information
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NPI Number | 1487758728
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Entity Type | Individual
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Provider Name | RACHEL ANNE ANDERSON DC, CMT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 28300 FRANKLIN RD STE A
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1657
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Country | US
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Telephone | 303-332-3366
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Fax | 303-237-7638
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Provider Business Mailing Address
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Address Line | 2480 YOUNGFIELD ST
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City | LAKEWOOD
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State | CO
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Zip | 80215
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Country | US
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Telephone | 303-237-7900
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Fax | 303-237-7638
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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 | 5309
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License Number State | CO
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