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General NPI Number Information
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NPI Number | 1497404495
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Entity Type | Individual
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Provider Name | SEAN ROBERT PERRY DDS
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Gender | Male
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 8221 E NORTHFIELD BLVD
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City | DENVER
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State | CO
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Zip | 80238-3530
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Country | US
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Telephone | 720-634-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 BASSETT ST APT 214
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City | DENVER
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State | CO
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Zip | 80202-1012
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Country | US
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Telephone | 603-913-3979
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN.00205406
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License Number State | CO
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