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General NPI Number Information
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NPI Number | 1508980665
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Entity Type | Individual
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Provider Name | ELIZABETH M JOHNSEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 S CHERRY ST SUTIE 1105
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City | GLENDALE
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State | CO
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Zip | 80246-1702
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Country | US
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Telephone | 303-399-1798
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Fax | 303-399-1798
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Provider Business Mailing Address
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Address Line | 4550 CHERRY CREEK SOUTH DR SUITE 1511
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City | DENVER
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State | CO
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Zip | 80246-1554
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Country | US
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Telephone | 303-856-8941
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Fax | 303-399-1798
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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 | 5961
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License Number State | CO
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