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General NPI Number Information
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NPI Number | 1972800605
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE CARE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 3464 S DOWNING ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2911
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Country | US
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Telephone | 303-762-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 3464 S DOWNING ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2911
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Country | US
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Telephone | 303-762-0626
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | RHAE ELLEN MAJEROWSKI
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Credential |
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Telephone | 303-762-0626
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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 | 6086
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License Number State | CO
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