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General NPI Number Information
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NPI Number | 1558057927
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Entity Type | Individual
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Provider Name | KATIE BAIR D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 1832 WOODMOOR DR STE 100
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City | MONUMENT
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State | CO
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Zip | 80132-9094
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Country | US
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Telephone | 719-651-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 1832 WOODMOOR DR STE 100
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City | MONUMENT
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State | CO
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Zip | 80132-9094
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Country | US
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Telephone | 719-651-4466
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 0008633
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License Number State | CO
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