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General NPI Number Information
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NPI Number | 1891564142
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Entity Type | Organization
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Legal Business Name | ALLEN SPINE AND SPORT, P.C.
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 5690 DTC BLVD STE 220E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3234
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Country | US
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Telephone | 303-335-9540
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 HILLTOP RD
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City | EVERGREEN
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State | CO
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Zip | 80439-5851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAYLA ALLEN
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Credential |
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Telephone | 954-881-4786
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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 |
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License Number State |
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