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General NPI Number Information
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NPI Number | 1336443266
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Entity Type | Individual
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Provider Name | JULIE JO ELLIOTT RDH
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Gender | Female
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 2000 VERMONT DR STE 210
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City | FORT COLLINS
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State | CO
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Zip | 80525-2900
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Country | US
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Telephone | 970-227-7202
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Fax | 970-223-5259
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Provider Business Mailing Address
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Address Line | 2000 VERMONT DR STE 210
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City | FORT COLLINS
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State | CO
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Zip | 80525-2900
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Country | US
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Telephone | 970-227-7202
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Fax | 970-223-5259
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 902945
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License Number State | CO
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