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General NPI Number Information
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NPI Number | 1518597822
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Entity Type | Organization
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Legal Business Name | RYAN SCHEIDEL DDS, PLLC
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Dates
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Enumeration Date | 01/26/2020
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Last Update Date | 01/26/2020
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Provider Practice Location Address
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Address Line | 7261 S BROADWAY STE 102
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City | LITTLETON
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State | CO
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Zip | 80122-8018
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Country | US
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Telephone | 303-798-2305
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Fax |
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Provider Business Mailing Address
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Address Line | 2318 BELLAIRE ST UNIT A
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City | DENVER
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State | CO
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Zip | 80207-3119
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Country | US
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Telephone | 720-808-3390
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RYAN SCHEIDEL
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Credential | DDS
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Telephone | 303-798-2305
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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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