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General NPI Number Information
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NPI Number | 1144744657
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Entity Type | Organization
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Legal Business Name | DR. PADDY, PLLC
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2373 CENTRAL PARK BLVD UNIT 305
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City | DENVER
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State | CO
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Zip | 80238-2301
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Country | US
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Telephone | 303-399-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 2373 CENTRAL PARK BLVD UNIT 305
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City | DENVER
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State | CO
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Zip | 80238-2301
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Country | US
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Telephone | 303-399-5437
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALFRED PATRICK SMITHWICK III
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Credential | DDS
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Telephone | 443-756-7119
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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 | 00201825
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License Number State | CO
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