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General NPI Number Information
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NPI Number | 1487880753
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Entity Type | Individual
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Provider Name | CARLA D MILLERBROWN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 30 BENCHMARK RD STE 103
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City | AVON
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State | CO
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Zip | 81620-5917
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Country | US
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Telephone | 970-688-5372
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Fax |
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Provider Business Mailing Address
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Address Line | 56 EDWARDS VILLAGE BLVD SUITE 124 PMB3000-242
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City | EDWARDS
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State | CO
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Zip | 81632
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Country | US
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Telephone | 330-936-3816
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30-022830
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License Number State | OH
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