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General NPI Number Information
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NPI Number | 1376865303
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Entity Type | Individual
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Provider Name | MONICA SANTOS BORRIS DDS
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Gender | Female
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 15 WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80226-1501
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Country | US
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Telephone | 229-444-0724
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Fax |
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Provider Business Mailing Address
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Address Line | 15 WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80226-1501
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Country | US
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Telephone | 303-936-3700
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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 | 10104
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License Number State | CO
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