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General NPI Number Information
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NPI Number | 1225541972
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Entity Type | Organization
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Legal Business Name | THOMAS K. CHUBB, DDS, PC
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 5150 W 80TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80030-4449
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Country | US
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Telephone | 303-428-3613
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Fax | 303-427-4631
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Provider Business Mailing Address
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Address Line | 5150 W 80TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80030-4449
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Country | US
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Telephone | 303-428-3613
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Fax | 303-427-4631
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. THOMAS KENT CHUBB
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Credential | DDS
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Telephone | 303-428-3613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6848
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License Number State | CO
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