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General NPI Number Information
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NPI Number | 1609102250
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Entity Type | Organization
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Legal Business Name | DISCOVER CHIROPRACTIC PC
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 7535 W 92ND AVE #600
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City | WESTMINSTER
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State | CO
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Zip | 80021-5612
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Country | US
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Telephone | 303-425-9557
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Fax | 303-425-3399
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Provider Business Mailing Address
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Address Line | 7535 W 92ND AVE #600
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City | WESTMINSTER
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State | CO
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Zip | 80021-5612
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Country | US
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Telephone | 303-425-9557
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Fax | 303-425-3399
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Authorized Official
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Title or Position | TCA
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Name | MS. STACIE MARIE GILLESPIE
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Credential |
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Telephone | 303-425-9557
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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 | 5883
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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 | 4710
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License Number State | CO
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