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General NPI Number Information
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NPI Number | 1538932710
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Entity Type | Individual
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Provider Name | CALLIE JORDAN GARLICK DC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 211 TABOR ST 104
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City | BUENA VISTA
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State | CO
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Zip | 81211
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Country | US
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Telephone | 719-204-3566
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Fax |
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Provider Business Mailing Address
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Address Line | 30880 COUNTY ROAD 356-6
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City | BUENA VISTA
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State | CO
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Zip | 81211-8616
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Country | US
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Telephone | 724-562-0683
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Fax |
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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 | CHR.0008547
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License Number State | CO
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