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NPI 1427848795

NPI 1427848795 : 20 MILE CASTLE ROCK, PLLC : CASTLE ROCK, CO

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General NPI Number Information
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    NPI Number           |    1427848795
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    Entity Type          |    Organization 
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    Legal Business Name  |    20 MILE CASTLE ROCK, PLLC 
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Dates
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    Enumeration Date     |    05/09/2025
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    Last Update Date     |    05/09/2025
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Provider Practice Location Address
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    Address Line         |    3750 DACORO LN STE 145 
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    City                 |    CASTLE ROCK
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    State                |    CO
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    Zip                  |    80109-2514
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    Country              |    US
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    Telephone            |    720-733-0353
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11989 HOLLY ST 
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    City                 |    THORNTON
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    State                |    CO
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    Zip                  |    80233-1802
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    Country              |    US
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    Telephone            |    316-706-9318
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. BRANDON  SCHEER 
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    Credential           |    DDS, MSD
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    Telephone            |    316-706-9318
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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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