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General NPI Number Information
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NPI Number | 1609062066
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Entity Type | Organization
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Legal Business Name | GRAVES CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 3773 CHERRY CREEK NORTH DR SUITE #600
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City | DENVER
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State | CO
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Zip | 80209-3804
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Country | US
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Telephone | 303-393-7262
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Fax | 303-393-0048
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Provider Business Mailing Address
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Address Line | 3773 CHERRY CREEK NORTH DR SUITE #600
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City | DENVER
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State | CO
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Zip | 80209-3804
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Country | US
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Telephone | 303-393-7262
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Fax | 303-393-0048
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT S GRAVES
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Credential | D.C., C.C.S.P.
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Telephone | 303-393-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 1393
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1393
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License Number State | CO
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