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General NPI Number Information
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NPI Number | 1912242421
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Entity Type | Organization
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Legal Business Name | CALLEN CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 3865 E CHERRY CREEK NORTH DR LL70
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City | DENVER
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State | CO
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Zip | 80209-3803
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Country | US
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Telephone | 303-399-1798
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Fax | 303-388-1885
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Provider Business Mailing Address
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Address Line | 3865 E CHERRY CREEK NORTH DR LL70
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City | DENVER
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State | CO
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Zip | 80209-3803
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Country | US
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Telephone | 303-399-1798
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Fax | 303-388-1885
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ELIZABETH M CALLEN
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Credential | D.C
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Telephone | 303-399-1798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 5961
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License Number State | CO
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