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General NPI Number Information
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NPI Number | 1285967109
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Entity Type | Individual
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Provider Name | ZACHARY WELLS D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 6850 E HAMPDEN AVE SUITE 202
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City | DENVER
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State | CO
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Zip | 80224-3024
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Country | US
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Telephone | 303-758-6850
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Fax | 303-458-0729
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Provider Business Mailing Address
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Address Line | 6850 E HAMPDEN AVE SUITE 202
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City | DENVER
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State | CO
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Zip | 80224-3024
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Country | US
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Telephone | 303-758-6850
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Fax | 303-458-0729
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 201861
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License Number State | CO
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