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General NPI Number Information
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NPI Number | 1932286127
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Entity Type | Individual
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Provider Name | BRIAN T STUTZ D.C., C.PED.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3300 E 1ST AVE SUITE 600
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City | DENVER
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State | CO
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Zip | 80206-5810
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Country | US
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Telephone | 303-733-2521
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Fax | 303-733-7682
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Provider Business Mailing Address
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Address Line | 3300 E 1ST AVE SUITE 600
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City | DENVER
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State | CO
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Zip | 80206-5810
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Country | US
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Telephone | 303-733-2521
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Fax | 303-733-7682
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5258
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License Number State | CO
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