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General NPI Number Information
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NPI Number | 1548875586
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Entity Type | Organization
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Legal Business Name | AO COLORADO PLLC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 103 FOURTH STREET SUITE 330
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2449
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Country | US
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Telephone | 720-645-1623
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Fax | 720-638-3837
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Provider Business Mailing Address
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Address Line | 1490 1 E. HAMPDEN AVE SUITE 180
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City | AURORA
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State | CO
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Zip | 80014-5055
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Country | US
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Telephone | 303-693-5100
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Fax | 303-770-6018
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | STEVEN LEE SCHUSTER
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Credential | D.C.
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Telephone | 303-693-5100
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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 |
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License Number State |
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