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General NPI Number Information
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NPI Number | 1902236441
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Entity Type | Organization
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Legal Business Name | DENVER SPINE CHIROPRACTIC
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 1699 S COLORADO BLVD UNIT M
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City | DENVER
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State | CO
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Zip | 80222-4036
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Country | US
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Telephone | 303-953-1471
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Fax |
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Provider Business Mailing Address
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Address Line | 1699 S COLORADO BLVD UNIT M
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City | DENVER
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State | CO
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Zip | 80222
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Country | US
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Telephone | 303-953-1471
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. KARI M JESKE
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Credential | D.C.
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Telephone | 303-953-1471
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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 | CHR0006991
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License Number State | CO
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