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General NPI Number Information
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NPI Number | 1639137052
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Entity Type | Individual
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Provider Name | DONALD JOHN ZIMMER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/22/2017
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Provider Practice Location Address
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Address Line | 601 E HAMPDEN AVE SUITE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3781
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Country | US
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Telephone | 303-788-6462
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Fax | 303-781-9763
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Provider Business Mailing Address
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Address Line | 601 E HAMPDEN AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2769
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Country | US
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Telephone | 303-788-6462
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Fax | 303-781-9763
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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 | 4098
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License Number State | CO
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