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General NPI Number Information
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NPI Number | 1609702083
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Entity Type | Organization
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Legal Business Name | VERDE MENTA LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 12801 CLERMONT ST
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City | THORNTON
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State | CO
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Zip | 80241-2260
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Country | US
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Telephone | 805-317-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 12801 CLERMONT ST
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City | THORNTON
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State | CO
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Zip | 80241-2260
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Country | US
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Telephone | 805-317-9998
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VIVIANA PATRICIA VASQUEZ TORRES
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Credential | RDH
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Telephone | 720-361-6107
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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 |
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License Number State |
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