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General NPI Number Information
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NPI Number | 1164088365
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Entity Type | Organization
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Legal Business Name | CARA JONES DDS INC
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 2918 W 10TH ST STE 1
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City | GREELEY
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State | CO
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Zip | 80634-5457
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Country | US
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Telephone | 970-673-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 2918 W 10TH ST STE 1
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City | GREELEY
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State | CO
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Zip | 80634-5457
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Country | US
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Telephone | 970-673-8411
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. GREG HUBBARD
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Credential |
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Telephone | 970-301-1364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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