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General NPI Number Information
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NPI Number | 1083421721
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Entity Type | Organization
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Legal Business Name | TOOTHZONE ORTHODONTICS PROFESSIONAL, LLP
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 272 E 29TH ST # 274
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City | LOVELAND
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State | CO
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Zip | 80538-2733
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Country | US
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Telephone | 970-669-1122
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Fax | 970-669-1984
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Provider Business Mailing Address
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Address Line | 272 E 29TH ST # 274
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City | LOVELAND
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State | CO
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Zip | 80538-2733
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Country | US
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Telephone | 970-669-1122
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Fax | 970-669-1984
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Authorized Official
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Title or Position | HR MANAGER
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Name | BLANCA RICHARDSON
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Credential |
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Telephone | 970-223-8687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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