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General NPI Number Information
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NPI Number | 1003250382
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Entity Type | Organization
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Legal Business Name | TODD M. JUHLIN D.D.S., P.C.
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 9200 W CROSS DR SUITE 603
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City | LITTLETON
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State | CO
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Zip | 80123-2239
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Country | US
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Telephone | 303-932-7458
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Fax | 303-932-7460
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Provider Business Mailing Address
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Address Line | 9200 W CROSS DR SUITE 603
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City | LITTLETON
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State | CO
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Zip | 80123-2239
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Country | US
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Telephone | 303-932-7458
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Fax | 303-932-7460
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Authorized Official
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Title or Position | PRESIDENT / ORAL SURGEON
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Name | DR. TODD M. JUHLIN
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Credential | D.D.S.
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Telephone | 641-430-6112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | 10460
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License Number State | CO
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