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General NPI Number Information
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NPI Number | 1003380023
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Entity Type | Organization
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Legal Business Name | TOWER PLAZA DENTAL, P.A.
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3716 STATE AVE STE B
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City | KANSAS CITY
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State | KS
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Zip | 66102-3831
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Country | US
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Telephone | 913-298-7360
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Fax | 719-955-3470
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Provider Business Mailing Address
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Address Line | 2221 E BIJOU ST STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-8009
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Country | US
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Telephone | 719-576-1850
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Fax | 719-955-3470
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | JULIE BHARUCHA
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Credential | DMD
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Telephone | 719-576-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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