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General NPI Number Information
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NPI Number | 1609290394
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Entity Type | Organization
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Legal Business Name | RYAN K. WARHURST, DC, PC
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 3303 W 144TH AVE SUITE 104
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City | BROOMFIELD
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State | CO
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Zip | 80023-9464
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Country | US
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Telephone | 303-945-4987
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Fax |
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Provider Business Mailing Address
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Address Line | 3303 W 144TH AVE SUITE 104
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City | BROOMFIELD
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State | CO
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Zip | 80023-9464
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Country | US
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Telephone | 303-945-4987
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. RYAN WARHURST
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Credential | D.C.
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Telephone | 303-945-4987
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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 | 5562
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License Number State | CO
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