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General NPI Number Information
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NPI Number | 1376833889
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Entity Type | Organization
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Legal Business Name | STEVEN R. NELSON, DDS, LLC
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 6850 E HAMPDEN AVE SUITE 202
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City | DENVER
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State | CO
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Zip | 80224-3024
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Country | US
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Telephone | 303-758-6850
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Fax | 303-758-0729
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Provider Business Mailing Address
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Address Line | 6850 E HAMPDEN AVE SUITE 202
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City | DENVER
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State | CO
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Zip | 80224-3024
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Country | US
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Telephone | 303-758-6850
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Fax | 303-758-0729
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN RICHARD NELSON
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Credential | DDS, MS
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Telephone | 303-758-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6819
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License Number State | CO
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