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General NPI Number Information
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NPI Number | 1558785634
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Entity Type | Individual
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Provider Name | NICHELLE FRANCAVILLA GURULE D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 11336 W 104TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80021
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Country | US
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Telephone | 303-717-6323
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Fax |
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Provider Business Mailing Address
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Address Line | 51 UNIVERSITY AVE STE K
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City | LOS GATOS
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State | CA
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Zip | 95030-6037
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Country | US
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Telephone | 408-884-8229
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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.0007209
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License Number State | CO
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