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General NPI Number Information
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NPI Number | 1366098444
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Entity Type | Organization
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Legal Business Name | KUNZMAN & ASSOCIATES INC. DBA GB DENTAL ASSOCIATES
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 1910 56TH AVE
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City | GREELEY
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State | CO
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Zip | 80634-2945
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Country | US
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Telephone | 970-339-9770
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Fax | 970-339-9748
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Provider Business Mailing Address
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Address Line | 1910 56TH AVE
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City | GREELEY
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State | CO
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Zip | 80634-2945
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Country | US
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Telephone | 970-339-9770
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Fax | 970-339-9748
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. YOLI JACQUEZ
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Credential |
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Telephone | 970-339-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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