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General NPI Number Information
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NPI Number | 1609388776
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Entity Type | Organization
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Legal Business Name | LITVAK ASSOCIATES, INC
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 695 S COLORADO BLVD STE 320
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City | DENVER
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State | CO
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Zip | 80246-8013
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Country | US
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Telephone | 303-996-2963
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Fax | 303-996-2965
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Provider Business Mailing Address
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Address Line | 695 S COLORADO BLVD STE 320
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City | DENVER
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State | CO
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Zip | 80246-8013
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Country | US
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Telephone | 303-996-2963
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Fax | 303-996-2965
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLIFFORD S. LITVAK
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Credential | M.S.,D.D.S.
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Telephone | 303-996-2963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | CO104927
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License Number State | CO
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