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General NPI Number Information
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NPI Number | 1689975773
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Entity Type | Organization
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Legal Business Name | HARRISON CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 925 S NIAGARA ST STE 360
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City | DENVER
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State | CO
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Zip | 80224-1681
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Country | US
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Telephone | 303-349-5492
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Fax | 866-274-1128
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Provider Business Mailing Address
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Address Line | 925 S NIAGARA ST STE 360
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City | DENVER
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State | CO
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Zip | 80224-1681
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Country | US
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Telephone | 303-349-5492
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Fax | 866-274-1128
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSHUA HARRISON
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Credential | D.C.
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Telephone | 303-349-5492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 5142
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License Number State | CO
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