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General NPI Number Information
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NPI Number | 1417730144
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Entity Type | Organization
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Legal Business Name | FALCON SMILES PLLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 7685 MCLAUGHLIN RD STE 190
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City | FALCON
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State | CO
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Zip | 80831-4751
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Country | US
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Telephone | 719-495-1230
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Fax | 719-886-7189
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Provider Business Mailing Address
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Address Line | 7685 MCLAUGHLIN RD STE 190
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City | FALCON
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State | CO
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Zip | 80831-4751
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Country | US
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Telephone | 719-495-1230
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Fax | 719-886-7189
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACOB ZITTERKOPF
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Credential | DDS, MSD
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Telephone | 719-495-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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