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General NPI Number Information
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NPI Number | 1699801662
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Entity Type | Individual
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Provider Name | JEFFREY M ANDERSON D C
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 3333 S WADSWORTH BLVD BUILDING D SUITE 205
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City | LAKEWOOD
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State | CO
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Zip | 80227-5122
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Country | US
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Telephone | 303-986-5400
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Fax | 303-986-5401
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Provider Business Mailing Address
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Address Line | 3333 S WADSWORTH BLVD BUILDING D SUITE 205
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City | LAKEWOOD
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State | CO
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Zip | 80227-5122
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Country | US
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Telephone | 303-986-5400
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Fax | 303-986-5401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 841560976
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License Number State | CO
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