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General NPI Number Information
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NPI Number | 1144599937
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Entity Type | Individual
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Provider Name | LISA SZCYPINSKI RDH, OM
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Gender | Female
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 965 S. COLORADO BLVD. SUITE 104
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City | DENVER
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State | CO
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Zip | 80246
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Country | US
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Telephone | 720-560-5172
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Fax | 720-545-9884
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Provider Business Mailing Address
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Address Line | 13030 W. 30TH DRIVE
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City | GOLDEN
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State | CO
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Zip | 80401
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Country | US
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Telephone | 720-560-5172
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Fax | 720-545-9884
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 902927
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License Number State | CO
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