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General NPI Number Information
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NPI Number | 1407443377
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE DENTAL 2, PROFESSIONAL LLC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 2221 S PARKER RD
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City | DENVER
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State | CO
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Zip | 80231-3482
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Country | US
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Telephone | 303-320-0734
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Fax |
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Provider Business Mailing Address
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Address Line | 10963 E EVANS AVE
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City | AURORA
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State | CO
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Zip | 80014-4721
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Country | US
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Telephone | 720-352-2333
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. WAMEEDH A ABDULAMEER
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Credential | DDS, MSC., BDS
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Telephone | 720-352-2333
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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