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General NPI Number Information
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NPI Number | 1518094069
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Entity Type | Individual
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Provider Name | AMY MICHELLE ROBERTS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 01/07/2017
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Provider Practice Location Address
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Address Line | 300 PLAZA DR STE 102
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2310
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Country | US
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Telephone | 303-683-3332
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Fax | 303-683-7979
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Provider Business Mailing Address
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Address Line | 6364 S KEWAUNEE WAY
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City | AURORA
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State | CO
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Zip | 80016-4298
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Country | US
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Telephone | 224-805-2782
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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 | 10689
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License Number State | CO
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