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General NPI Number Information
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NPI Number | 1407275878
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Entity Type | Organization
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Legal Business Name | GOLDEN HILL FAMILY DENTISTRY
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 11290 W ALAMEDA AVE SUITE A-100
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City | LAKEWOOD
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State | CO
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Zip | 80226-2576
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Country | US
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Telephone | 303-237-1553
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Fax | 303-232-1683
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Provider Business Mailing Address
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Address Line | 11290 W ALAMEDA AVE SUITE A -100
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City | LAKEWOOD
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State | CO
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Zip | 80226-2576
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Country | US
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Telephone | 303-237-1553
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Fax | 303-232-1683
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD LEE SMITH
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Credential | D.D.S.
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Telephone | 303-237-1553
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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 | DEN00105721
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License Number State | CO
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