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General NPI Number Information
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NPI Number | 1508393653
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Entity Type | Organization
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Legal Business Name | BRITA AND MATTHEW LOEPPKE, DDS PLLC
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Dates
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Enumeration Date | 05/20/2017
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 18695 STAGE RUN RD
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City | PARKER
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State | CO
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Zip | 80134-4911
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Country | US
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Telephone | 303-841-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 5743 S KITTREDGE ST
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City | CENTENNIAL
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State | CO
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Zip | 80015-4003
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Country | US
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Telephone | 701-471-3497
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MATTHEW LOEPPKE
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Credential | DDS
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Telephone | 701-471-3497
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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 |
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License Number State | CO
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