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General NPI Number Information
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NPI Number | 1801879903
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Entity Type | Organization
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Legal Business Name | HEALTHONE CLINIC SERVICES, LLC
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9195 GRANT ST SUITE 100
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City | THORNTON
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State | CO
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Zip | 80229-4385
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Country | US
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Telephone | 303-451-7700
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Fax | 303-252-9474
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Provider Business Mailing Address
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Address Line | 9195 GRANT ST SUITE 100
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City | THORNTON
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State | CO
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Zip | 80229-4385
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Country | US
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Telephone | 303-451-7700
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Fax | 303-252-9474
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PATRICK BIRMINGHAM
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Credential |
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Telephone | 615-373-7625
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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 |
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License Number State |
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