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General NPI Number Information
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NPI Number | 1598981490
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF COLORADO
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13065 E 17TH PL MAIL STOP F846
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City | AURORA
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State | CO
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Zip | 80045-7238
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Country | US
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Telephone | 303-724-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 13065 E 17TH PL MAIL STOP F846
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City | AURORA
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State | CO
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Zip | 80045-7238
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Country | US
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Telephone | 303-724-7001
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Fax |
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | JAIME N GANDY
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Credential |
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Telephone | 303-724-7001
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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 | 7100
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License Number State | CO
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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 | 9023
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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 | 104928
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 104878
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License Number State | CO
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