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General NPI Number Information
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NPI Number | 1568633030
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Entity Type | Organization
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Legal Business Name | DAWSON CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 1907 BOISE AVE STE. #1
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-663-2200
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Fax | 970-663-2201
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Provider Business Mailing Address
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Address Line | 1907 BOISE AVE. STE #1
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-663-2200
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Fax | 970-663-2201
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEROD T. DAWSON
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Credential | D.C.
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Telephone | 970-663-2200
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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 | 6108
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6194
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License Number State | CO
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