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General NPI Number Information
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NPI Number | 1093628620
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Entity Type | Individual
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Provider Name | ADENA LEI DUNCAN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 3222 HIGHWAY 6&24
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City | CLIFTON
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State | CO
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Zip | 81520
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Country | US
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Telephone | 970-438-0076
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Fax |
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Provider Business Mailing Address
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Address Line | 135 WINTERLAND CT
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City | FRUITA
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State | CO
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Zip | 81521-8324
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Country | US
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Telephone | 970-644-1641
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH.002024702
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License Number State | CO
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