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NPI 1629143714

NPI 1629143714 : STUART R WINTER DMD : ARVADA, CO

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General NPI Number Information
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    NPI Number           |    1629143714
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    Entity Type          |    Individual 
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    Provider Name        |    STUART R WINTER DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/22/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    8605 RALSTON RD 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80002
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    Country              |    US
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    Telephone            |    303-424-4567
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    Fax                  |    303-424-1851
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Provider Business Mailing Address
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    Address Line         |    8605 RALSTON RD 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80002
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    Country              |    US
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    Telephone            |    303-424-4567
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    Fax                  |    303-424-1851
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    105663
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    License Number State |    CO
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