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General NPI Number Information
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NPI Number | 1730365982
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Entity Type | Individual
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Provider Name | BRIAN C. MEARS L.AC.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 317 W SOUTH BOULDER RD STE 5
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City | LOUISVILLE
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State | CO
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Zip | 80027-1160
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Country | US
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Telephone | 303-929-7334
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Fax |
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Provider Business Mailing Address
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Address Line | 13207 HOLLY ST UNIT F
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City | THORNTON
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State | CO
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Zip | 80241-3183
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Country | US
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Telephone |
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU-1346
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License Number State | CO
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