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General NPI Number Information
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NPI Number | 1891119897
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Entity Type | Organization
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Legal Business Name | DISCOVER HEALTH AND WELLNESS DENVER
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Dates
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Enumeration Date | 02/11/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 1231 S PARKER RD STE 100
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City | DENVER
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State | CO
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Zip | 80231-2157
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Country | US
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Telephone | 303-353-4065
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 S PARKER RD STE 100
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City | DENVER
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State | CO
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Zip | 80231-2157
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Country | US
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Telephone | 303-353-4065
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Fax |
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Authorized Official
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Title or Position | TREATING DOCTOR
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Name | DR. ANDREW THOMAS HANSON
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Credential | DC
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Telephone | 303-353-4065
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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 | 6995
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License Number State | SD
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