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General NPI Number Information
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NPI Number | 1346257532
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Entity Type | Organization
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Legal Business Name | JAMES K RICHARDS DDS PC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1647 E 18TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-4209
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Country | US
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Telephone | 970-669-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 1647 E 18TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-4209
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Country | US
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Telephone | 970-669-6111
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | JAMES K RICHARDS
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Credential | DDS
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Telephone | 970-669-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 104198
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License Number State | CO
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