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General NPI Number Information
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NPI Number | 1366591125
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Entity Type | Individual
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Provider Name | TERRENCE SHEA BATLINER DDS, MBA
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 390 UNIVERSITY BLVD
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City | DENVER
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State | CO
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Zip | 80206-4125
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Country | US
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Telephone | 303-333-6016
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Fax | 303-333-0779
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Provider Business Mailing Address
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Address Line | MAIL STOP F831, P.O. BOX 6508 UNIVERSITY OF COLORADO SCHOOL OF DENTISTRY
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City | AURORA
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State | CO
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Zip | 80045
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Country | US
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Telephone | 303-724-1037
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Fax | 303-724-7109
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5542
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License Number State | CO
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