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General NPI Number Information
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NPI Number | 1497541437
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Entity Type | Organization
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Legal Business Name | ALPINE DENTAL ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 10284 ROWLOCK WAY
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City | PARKER
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State | CO
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Zip | 80134-9577
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Country | US
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Telephone | 801-310-8244
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Fax |
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Provider Business Mailing Address
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Address Line | 10284 ROWLOCK WAY
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City | PARKER
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State | CO
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Zip | 80134-9577
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Country | US
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Telephone | 801-310-8244
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Fax |
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Authorized Official
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Title or Position | MANAGER/CEO
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Name | TAUREAN TRAVAS SMITH
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Credential | DMD
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Telephone | 801-310-8244
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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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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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