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General NPI Number Information
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NPI Number | 1790159895
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Entity Type | Organization
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Legal Business Name | WELLNESS WORX, LLC
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 5351 S ROSLYN ST 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2128
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Country | US
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Telephone | 720-414-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 85 UINTA WAY 606
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City | DENVER
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State | CO
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Zip | 80230
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Country | US
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Telephone | 720-414-2520
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL HILL
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Credential | D.C.
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Telephone | 720-414-2520
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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 | 6346
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License Number State | CO
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