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General NPI Number Information
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NPI Number | 1760580906
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Entity Type | Individual
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Provider Name | ROBERT C NELSON DC, DACBSP
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 84 GARRISON ST UNIT B
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City | LAKEWOOD
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State | CO
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Zip | 80226-7426
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Country | US
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Telephone | 303-205-0501
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Fax | 303-205-0570
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Provider Business Mailing Address
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Address Line | 84 GARRISON ST UNIT B
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City | LAKEWOOD
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State | CO
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Zip | 80226-7426
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Country | US
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Telephone | 303-205-0501
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Fax | 303-205-0570
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2664
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | CERTIFICATE #78
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License Number State | IA
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