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General NPI Number Information
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NPI Number | 1588160113
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Entity Type | Individual
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Provider Name | SARA DEAN SCHWAGER DDS
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 2656 WALNUT ST
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City | DENVER
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State | CO
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Zip | 80205-2231
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Country | US
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Telephone | 158-816-0113
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Fax |
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Provider Business Mailing Address
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Address Line | 1459 27TH ST
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City | DENVER
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State | CO
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Zip | 80205-2243
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Country | US
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Telephone | 540-323-1071
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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 | DEN.00203490
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License Number State | CO
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