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General NPI Number Information
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NPI Number | 1558481952
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Entity Type | Individual
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Provider Name | VICTOR RAPOSO DMD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1120 W SOUTH BOULDER RD SUITE 103
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City | LAFAYETTE
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State | CO
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Zip | 80026-8951
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Country | US
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Telephone | 303-604-9393
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Fax | 303-604-9411
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Provider Business Mailing Address
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Address Line | 1120 W SOUTH BOULDER RD SUITE 103
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City | LAFAYETTE
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State | CO
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Zip | 80026-8951
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Country | US
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Telephone |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 7808
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License Number State | CO
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