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General NPI Number Information
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NPI Number | 1083576623
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Entity Type | Organization
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Legal Business Name | ANCHOR PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6240 S MAIN ST STE 215
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City | AURORA
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State | CO
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Zip | 80016-5413
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Country | US
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Telephone | 720-310-8033
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 S MAIN ST STE 215
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City | AURORA
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State | CO
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Zip | 80016-5413
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Country | US
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Telephone | 720-310-8033
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | LISA ALVARADO
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Credential |
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Telephone | 432-978-5840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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