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General NPI Number Information
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NPI Number | 1518027952
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Entity Type | Organization
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Legal Business Name | COLUMBINE NATURAL HEALTH CENTERS PC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4101 E WESLEY AVE SUITE 11
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City | DENVER
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State | CO
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Zip | 80222-6050
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Country | US
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Telephone | 303-757-4433
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Fax | 303-757-4410
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Provider Business Mailing Address
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Address Line | 4101 E WESLEY AVE SUITE 11
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City | DENVER
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State | CO
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Zip | 80222-6050
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Country | US
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Telephone | 303-757-4433
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Fax | 303-757-4410
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM SCOTT ISAACS
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Credential | DC
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Telephone | 303-757-4433
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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 | 5872
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License Number State | CO
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