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NPI 1942560370

NPI 1942560370 : HEALTH AND HEALING CHIROPRACTIC SERVICES : LITTLETON, CO

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General NPI Number Information
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    NPI Number           |    1942560370
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH AND HEALING CHIROPRACTIC SERVICES 
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Dates
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    Enumeration Date     |    05/18/2012
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    Last Update Date     |    05/18/2012
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Provider Practice Location Address
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    Address Line         |    8357 N RAMPART RANGE RD STE #205
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80125-9365
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    Country              |    US
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    Telephone            |    303-932-0081
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4610 W MINERAL DR #1328
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80128-2599
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    Country              |    US
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    Telephone            |    
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    Fax                  |    303-932-1363
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Authorized Official
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    Title or Position    |    OWNER/DOCTOR
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    Name                 |    DR. TIMOTHY JOSEPH WILSON 
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    Credential           |    D.C.
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    Telephone            |    970-631-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    6774
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    License Number State |    CO
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