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General NPI Number Information
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NPI Number | 1225428816
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Entity Type | Organization
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Legal Business Name | K LEE KUHLKE, DDS MS PC
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1501 E STANFORD AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80113-5949
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Country | US
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Telephone | 303-981-5717
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Fax | 303-762-8784
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Provider Business Mailing Address
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Address Line | 1501 E STANFORD AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80113-5949
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Country | US
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Telephone | 303-981-5717
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Fax | 303-762-8784
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. K LEE KUHLKE
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Credential | DDS
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Telephone | 303-981-5717
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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 | 00838
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License Number State | CO
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