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General NPI Number Information
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NPI Number | 1558712554
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Entity Type | Individual
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Provider Name | KATELYN MCCLURE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 10359 FEDERAL BLVD STE 110
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City | DENVER
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State | CO
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Zip | 80260-7453
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Country | US
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Telephone | 303-466-2300
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Fax | 303-466-8666
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Provider Business Mailing Address
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Address Line | 10359 FEDERAL BLVD STE 110
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City | DENVER
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State | CO
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Zip | 80260-7453
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Country | US
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Telephone | 303-466-2300
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Fax | 303-466-8666
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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 | 00202902
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License Number State | CO
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