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General NPI Number Information
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NPI Number | 1386440444
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Entity Type | Organization
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Legal Business Name | THREE LINES PLLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 235 S RIDGE ST
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City | BRECKENRIDGE
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State | CO
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Zip | 80424
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Country | US
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Telephone | 970-453-4244
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Fax | 970-360-2683
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Provider Business Mailing Address
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Address Line | PO BOX 1817
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-1811
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Country | US
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Telephone | 970-453-4244
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Fax | 970-360-2683
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANDREA ORENDORFF
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Credential |
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Telephone | 970-453-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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