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General NPI Number Information
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NPI Number | 1508171760
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH SYSTEMS
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 3601 S CLARKSON ST STE 420
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3948
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Country | US
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Telephone | 303-781-5617
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Fax | 303-781-1045
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Provider Business Mailing Address
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Address Line | 3601 S CLARKSON ST STE 420
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3948
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Country | US
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Telephone | 303-781-5617
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Fax | 303-781-1045
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. ROBERT SHANE STEADMAN
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Credential | D.C. , DACNB, CNS
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Telephone | 303-781-5617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 5404
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License Number State | CO
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