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General NPI Number Information
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NPI Number | 1578081865
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Entity Type | Individual
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Provider Name | ALEXANDRA GRIFFITH TSVETKOV RDH
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Gender | Female
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 17002 E MAINSTREET STE H
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City | PARKER
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State | CO
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Zip | 80134-4961
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Country | US
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Telephone | 720-842-1900
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Fax | 303-534-5290
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Provider Business Mailing Address
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Address Line | 12565 FOREST CANYON DR
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City | PARKER
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State | CO
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Zip | 80138-8211
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Country | US
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Telephone | 720-413-8443
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH.002023851
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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