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General NPI Number Information
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NPI Number | 1982870267
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Entity Type | Individual
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Provider Name | DONALD W. GIBSON CH
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Gender | Male
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 5191 S YOSEMITE ST SUITE A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3305
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Country | US
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Telephone | 303-771-3102
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Fax | 303-796-0197
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Provider Business Mailing Address
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Address Line | 5191 S YOSEMITE ST SUITE A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3305
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Country | US
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Telephone | 303-771-3102
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Fax | 303-796-0197
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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 | DC26723
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6191
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License Number State | CO
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