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General NPI Number Information
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NPI Number | 1386563781
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Entity Type | Organization
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Legal Business Name | EVELYN QI DMD PLLC
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 5387 MANHATTAN CIR STE 102
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City | BOULDER
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State | CO
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Zip | 80303-4283
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Country | US
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Telephone | 303-499-0558
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Fax |
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Provider Business Mailing Address
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Address Line | 5387 MANHATTAN CIR STE 102
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City | BOULDER
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State | CO
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Zip | 80303-4283
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Country | US
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Telephone | 303-499-0558
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | EVELYN QI
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Credential | DMD
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Telephone | 813-503-7569
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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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