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NPI 1366651622

NPI 1366651622 : SHERYL D CLEAR DDS : PARKER, CO

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General NPI Number Information
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    NPI Number           |    1366651622
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    Entity Type          |    Individual 
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    Provider Name        |    SHERYL D CLEAR DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2007
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    Last Update Date     |    12/15/2015
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Provider Practice Location Address
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    Address Line         |    10841 CROSSROADS DR SUITE 2E2
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    City                 |    PARKER
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    State                |    CO
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    Zip                  |    80134-9000
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    Country              |    US
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    Telephone            |    303-840-1097
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    Fax                  |    303-840-0208
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Provider Business Mailing Address
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    Address Line         |    17011 BENNETT DR 
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    City                 |    PARKER
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    State                |    CO
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    Zip                  |    80134-9118
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    Country              |    US
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    Telephone            |    303-870-7247
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    Fax                  |    303-840-0208
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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       |    6920
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    6920
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    License Number State |    CO
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