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General NPI Number Information
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NPI Number | 1033659321
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Entity Type | Organization
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Legal Business Name | T. BRIAN COPE D.D.S. P.C.
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 71 ERIE PARKWAY SUITE 101
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City | ERIE
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State | CO
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Zip | 80516
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Country | US
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Telephone | 303-828-0883
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Fax |
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Provider Business Mailing Address
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Address Line | 71 ERIE PARKWAY SUITE 101
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City | ERIE
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State | CO
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Zip | 80516
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Country | US
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Telephone | 303-828-0883
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEPHANIE R COPE
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Credential |
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Telephone | 303-587-5255
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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 | D9585
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License Number State | CO
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