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General NPI Number Information
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NPI Number | 1275990186
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Entity Type | Organization
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Legal Business Name | SMILES ARE FOREVER, PC
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 601 3RD ST
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City | ALAMOSA
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State | CO
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Zip | 81101-2516
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Country | US
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Telephone | 719-589-3576
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Fax |
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Provider Business Mailing Address
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Address Line | 601 3RD ST
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City | ALAMOSA
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State | CO
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Zip | 81101-2516
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Country | US
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Telephone | 719-589-3576
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHEILA ANN MURPHY
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Credential | RDH
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Telephone | 719-589-3576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | DH000906197
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License Number State | CO
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