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General NPI Number Information
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NPI Number | 1366567752
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Entity Type | Individual
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Provider Name | JANET R. NEEL D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 6436 HWY 85/87 SUITE C
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City | FOUNTAIN
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State | CO
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Zip | 80817
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Country | US
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Telephone | 719-392-5111
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Fax | 719-392-4143
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Provider Business Mailing Address
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Address Line | 350 ELLSWORTH ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-7905
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Country | US
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Telephone | 719-579-9656
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8170
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License Number State | CO
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