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General NPI Number Information
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NPI Number | 1063492155
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Entity Type | Organization
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Legal Business Name | HOMECARE DENTAL SERVICE, INC.
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 7100 BROADWAY
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City | DENVER
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State | CO
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Zip | 80221-2915
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Country | US
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Telephone | 303-650-5800
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Fax | 303-650-5801
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Provider Business Mailing Address
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Address Line | 7100 BROADWAY
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City | DENVER
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State | CO
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Zip | 80221-2917
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Country | US
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Telephone | 303-650-5800
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Fax | 303-650-5801
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JANET LEE
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Credential |
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Telephone | 303-650-5800
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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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