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General NPI Number Information
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NPI Number | 1386042257
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Entity Type | Organization
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Legal Business Name | DAVID EATON, DDS PC
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 5610 WARD RD STE 120
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City | ARVADA
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State | CO
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Zip | 80002-1309
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Country | US
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Telephone | 303-420-4001
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Fax | 303-420-4001
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Provider Business Mailing Address
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Address Line | 5610 WARD RD STE 120
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City | ARVADA
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State | CO
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Zip | 80002-1309
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Country | US
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Telephone | 303-420-4001
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Fax | 303-420-4001
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHRISTOPHER ARRELLIN
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Credential |
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Telephone | 303-420-4001
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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 | 8045
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License Number State | CO
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