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General NPI Number Information
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NPI Number | 1033411335
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Entity Type | Individual
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Provider Name | MARY JOANN PANEM LECLAIRE R.D.H., M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 13065 E 17TH AVE MAIL STOP F834
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City | AURORA
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State | CO
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Zip | 80045-2532
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Country | US
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Telephone | 303-724-7037
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Fax | 303-724-7066
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Provider Business Mailing Address
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Address Line | 13065 E 17TH AVE MAIL STOP F834
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City | AURORA
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State | CO
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Zip | 80045-2532
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Country | US
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Telephone | 303-724-7037
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Fax | 303-724-7066
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2475
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License Number State | CO
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