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General NPI Number Information
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NPI Number | 1518171933
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Entity Type | Individual
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Provider Name | DAVID LOUIS SEWELL D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 10083 ASTORBROOK LN
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-7834
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Country | US
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Telephone | 303-346-8057
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 DEL REY AVE
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City | PASADENA
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State | CA
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Zip | 91107-1405
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Country | US
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Telephone | 626-365-1187
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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 | 58296
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License Number State | CA
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