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General NPI Number Information
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NPI Number | 1508365248
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Entity Type | Organization
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Legal Business Name | APEX AUTO CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 305 MCCASLIN BLVD STE 6
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City | LOUISVILLE
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State | CO
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Zip | 80027-2930
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Country | US
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Telephone | 720-328-1790
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Fax |
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Provider Business Mailing Address
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Address Line | 305 MCCASLIN BLVD STE 6
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City | LOUISVILLE
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State | CO
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Zip | 80027-2930
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Country | US
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Telephone | 720-328-1790
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHANE KURTH
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Credential | DC
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Telephone | 720-328-1790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 0007100
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License Number State | CO
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