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General NPI Number Information
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NPI Number | 1972854784
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Entity Type | Organization
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Legal Business Name | WILSON NATURAL HEALING CO.
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 3072 EVERGREEN PKWY 105
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City | EVERGREEN
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State | CO
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Zip | 80439-7979
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Country | US
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Telephone | 303-674-9800
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Fax | 303-674-9803
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Provider Business Mailing Address
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Address Line | 3072 EVERGREEN PKWY
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City | EVERGREEN
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State | CO
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Zip | 80439-7979
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Country | US
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Telephone | 303-674-9800
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Fax | 303-674-9803
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. LINDSAY WILSON
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Credential | D.C.
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Telephone | 303-674-9800
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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 | 6791
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2778016
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6774
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License Number State | CO
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