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General NPI Number Information
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NPI Number | 1467857789
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Entity Type | Organization
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Legal Business Name | BEEBE ORTHODONTICS
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 8101 E LOWRY BLVD SUITE 250
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City | DENVER
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State | CO
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Zip | 80230-7196
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Country | US
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Telephone | 303-366-4900
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Fax | 303-363-4150
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Provider Business Mailing Address
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Address Line | 8101 E LOWRY BLVD SUITE 250
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City | DENVER
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State | CO
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Zip | 80230-7196
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Country | US
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Telephone | 303-366-4900
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Fax | 303-363-4150
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. DAVID ALLEN BEEBE
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Credential | D.D.S, M.S.
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Telephone | 303-366-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 10409
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 10409
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License Number State | CO
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