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General NPI Number Information
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NPI Number | 1477753283
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Entity Type | Individual
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Provider Name | AHMED KOHEIL BDS, DDS, MS, FACP
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 1710 S BUCKLEY RD UNIT 8A
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City | AURORA
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State | CO
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Zip | 80017-5639
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Country | US
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Telephone | 303-696-6764
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Fax |
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Provider Business Mailing Address
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Address Line | 6577 LYNX CV
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City | LONETREE
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State | CO
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Zip | 80124-9535
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Country | US
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Telephone | 651-431-8149
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | R318
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10310
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License Number State | CO
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