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General NPI Number Information
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NPI Number | 1215729181
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Entity Type | Individual
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Provider Name | JOONAS KOSKI DMD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 202 N 2ND ST
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City | LA SALLE
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State | CO
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Zip | 80645-3306
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Country | US
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Telephone | 970-284-7930
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Fax |
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Provider Business Mailing Address
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Address Line | 414 KANSAS AVE
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City | BERTHOUD
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State | CO
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Zip | 80513-1493
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Country | US
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Telephone | 678-471-0671
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 00206293
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License Number State | CO
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