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General NPI Number Information
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NPI Number | 1750563516
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Entity Type | Organization
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Legal Business Name | CASTLE PINES CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 562 E CASTLE PINES PKWY SUITE C-6B
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City | CASTLE ROCK
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State | CO
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Zip | 80108-4609
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Country | US
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Telephone | 303-814-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 562 E CASTLE PINES PKWY SUITE C-6B
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City | CASTLE ROCK
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State | CO
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Zip | 80108-4609
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Country | US
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Telephone | 303-814-8000
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. JOHN E. STEVENS
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Credential | D. C.
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Telephone | 303-814-8000
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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 | 4569
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License Number State | CO
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