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General NPI Number Information
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NPI Number | 1548492887
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Entity Type | Individual
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Provider Name | JAMON JENSEN DDS MSD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 10231 KNOLL CT
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-8051
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Country | US
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Telephone | 435-241-2834
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 PEARL ST
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City | BOULDER
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State | CO
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Zip | 80302-3814
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Country | US
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Telephone | 303-449-3250
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 70461369921
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DEN.00202191
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 26118
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License Number State | TX
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