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General NPI Number Information
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NPI Number | 1548714702
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Entity Type | Individual
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Provider Name | KLARISS COTTO B.S., D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 1699 S COLORADO BLVD UNIT P
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City | DENVER
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State | CO
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Zip | 80222-4036
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Country | US
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Telephone | 720-780-2503
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Fax | 720-780-2504
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Provider Business Mailing Address
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Address Line | 5311 WALTON WAY
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City | ROSWELL
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State | GA
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Zip | 30076-3499
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Country | US
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Telephone | 787-405-6002
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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.0008107
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License Number State | CO
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