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General NPI Number Information
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NPI Number | 1386672301
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Entity Type | Individual
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Provider Name | DANIEL WESLEY RAY D.M.D.,M.S.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1633 FILLMORE ST SUITE 112
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City | DENVER
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State | CO
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Zip | 80206-1514
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Country | US
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Telephone | 303-861-8872
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Fax | 303-399-1081
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Provider Business Mailing Address
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Address Line | 33364 ELK RUN
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City | EVERGREEN
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State | CO
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Zip | 80439-6843
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Country | US
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Telephone | 303-670-4824
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Fax | 303-399-1081
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 0419
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License Number State | CO
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