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General NPI Number Information
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NPI Number | 1740726694
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Entity Type | Organization
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Legal Business Name | R GROUP LLC
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 8996 W BOWLES AVE UNIT J
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City | LITTLETON
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State | CO
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Zip | 80123-8603
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Country | US
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Telephone | 720-573-3157
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Fax |
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Provider Business Mailing Address
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Address Line | 8996 W BOWLES AVE UNIT J
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City | LITTLETON
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State | CO
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Zip | 80123-8603
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Country | US
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Telephone | 720-573-3157
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Fax |
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Authorized Official
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Title or Position | OWENER
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Name | DR. PHILIP MAX RAWLINSON
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Credential | DC
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Telephone | 720-573-3157
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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 | EL.2786561
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License Number State | CO
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