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General NPI Number Information
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NPI Number | 1750819405
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Entity Type | Individual
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Provider Name | THERESA DEMPSEY CHANDLER LMT, LE
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Gender | Female
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 05/25/2017
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Provider Practice Location Address
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Address Line | 7200 E DRY CREEK RD STE C104
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City | CENTENNIAL
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State | CO
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Zip | 80112-2562
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Country | US
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Telephone | 720-255-5675
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Fax |
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Provider Business Mailing Address
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Address Line | 4283 S SHAWNEE CT
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City | AURORA
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State | CO
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Zip | 80018-3148
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Country | US
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Telephone | 832-240-6766
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0018458
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License Number State | CO
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