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General NPI Number Information
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NPI Number | 1497120455
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Entity Type | Organization
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Legal Business Name | RANDAL J MOYER, LLC
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 1325 S COLORADO BLVD #B16
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City | DENVER
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State | CO
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Zip | 80222-3303
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Country | US
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Telephone | 303-756-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 S COLORADO BLVD #B16
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City | DENVER
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State | CO
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Zip | 80222-3303
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Country | US
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Telephone | 303-756-9355
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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 | RANDAL JAMES MOYER
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Credential | DC
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Telephone | 303-756-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 11325
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 15046
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 17967
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 11875
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 14331
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6071
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License Number State | CO
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