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General NPI Number Information
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NPI Number | 1053561043
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Entity Type | Individual
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Provider Name | EMILY LOUISE SAUNDERS BUNDY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 12600 W COLFAX AVE STE B160
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City | LAKEWOOD
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State | CO
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Zip | 80215-3733
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Country | US
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Telephone | 303-237-0307
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Fax |
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Provider Business Mailing Address
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Address Line | 12600 W COLFAX AVE STE B160
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City | LAKEWOOD
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State | CO
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Zip | 80215-3733
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Country | US
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Telephone | 303-237-0307
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN00010227
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DD3122
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License Number State | NM
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