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General NPI Number Information
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NPI Number | 1730486689
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Entity Type | Organization
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Legal Business Name | LAKEWOOD CHIROPRACTIC OFFICE, PC
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Dates
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Enumeration Date | 02/11/2011
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 1296 WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80214-4208
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Country | US
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Telephone | 303-233-5656
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Fax | 303-238-0732
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Provider Business Mailing Address
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Address Line | 1296 WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80214-4208
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Country | US
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Telephone | 303-233-5656
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Fax | 303-238-0732
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CATHY A RAY
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Credential |
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Telephone | 303-233-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1355
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License Number State | CO
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