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General NPI Number Information
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NPI Number | 1629205141
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Entity Type | Organization
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Legal Business Name | THE FAMILY DENTIST PARTNERSHIP
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 4850 W 80TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80030-4413
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Country | US
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Telephone | 303-427-8690
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Fax | 303-427-6992
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Provider Business Mailing Address
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Address Line | 4850 W 80TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80030-4413
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Country | US
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Telephone | 303-427-8690
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Fax | 303-427-6992
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MARTHA E SKELTON
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Credential | DDS
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Telephone | 303-427-8690
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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 | 8981
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5532
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License Number State | CO
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