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General NPI Number Information
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NPI Number | 1538692330
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Entity Type | Organization
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Legal Business Name | LEVEL CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 12510 E ILIFF AVE 220
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City | AURORA
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State | CO
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Zip | 80014-6376
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Country | US
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Telephone | 720-662-7577
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Fax | 720-662-7571
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Provider Business Mailing Address
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Address Line | 201 S ELM ST
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City | DENVER
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State | CO
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Zip | 80246-1132
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Country | US
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Telephone | 563-343-1011
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Fax |
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Authorized Official
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Title or Position | FOUNDER-CEO-CHIROPRACTOR
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Name | DR. RYAN J ENGSTROM
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Credential | D.C.
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Telephone | 563-343-1011
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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.0007585
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License Number State | CO
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