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General NPI Number Information
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NPI Number | 1528484599
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Entity Type | Organization
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Legal Business Name | AUSTIN CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 362 S MCCASLIN BLVD
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City | LOUISVILLE
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State | CO
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Zip | 80027-9432
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Country | US
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Telephone | 303-665-5405
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Fax | 303-664-1697
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Provider Business Mailing Address
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Address Line | 362 S MCCASLIN BLVD
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City | LOUISVILLE
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State | CO
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Zip | 80027-9432
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Country | US
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Telephone | 303-665-5405
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Fax | 303-664-1697
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Authorized Official
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Title or Position | OWNER
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Name | PAUL DONALD AUSTIN
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Credential | DC
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Telephone | 303-665-5405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CHR 0002738
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License Number State | CO
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