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General NPI Number Information
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NPI Number | 1851489512
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Entity Type | Individual
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Provider Name | CURTIS RAY KANNEGIETER DC
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 6650 S VINE ST STE 110
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City | CENTENNIAL
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State | CO
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Zip | 80121-2740
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Country | US
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Telephone | 303-730-3174
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Fax | 303-730-2294
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Provider Business Mailing Address
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Address Line | 6650 S VINE ST STE 110
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City | CENTENNIAL
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State | CO
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Zip | 80121-2740
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Country | US
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Telephone | 303-730-3174
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Fax | 303-795-3669
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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 | 1591
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License Number State | CO
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