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General NPI Number Information
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NPI Number | 1891103750
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Entity Type | Individual
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Provider Name | DEANNA STEVENSON DC, ATC/L
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Gender | Female
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 9249 S BROADWAY UNIT 100
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129
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Country | US
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Telephone | 303-470-1020
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Fax |
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Provider Business Mailing Address
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Address Line | 9249 S BROADWAY UNIT 100
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5691
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Country | US
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Telephone | 303-470-1020
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT.0001919
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007959
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License Number State | CO
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