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General NPI Number Information
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NPI Number | 1992315915
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Entity Type | Organization
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Legal Business Name | ANDREW PHELAN DC PC
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 6169 S BALSAM WAY STE 310
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City | LITTLETON
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State | CO
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Zip | 80123-3064
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Country | US
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Telephone | 303-953-1201
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Fax | 720-328-6353
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Provider Business Mailing Address
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Address Line | 6169 S BALSAM WAY STE 310
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City | LITTLETON
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State | CO
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Zip | 80123-3064
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Country | US
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Telephone | 303-953-1201
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Fax | 720-328-6353
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW PHELAN
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Credential | DC
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Telephone | 303-953-1201
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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 |
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License Number State |
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