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General NPI Number Information
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NPI Number | 1659002160
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Entity Type | Organization
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Legal Business Name | OPEN AND AFFORDABLE DENTAL FORT COLLINS SOUTH PLLC
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 3838 S TIMBERLINE RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-3415
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Country | US
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Telephone | 970-632-9006
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Fax |
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Provider Business Mailing Address
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Address Line | 3838 S TIMBERLINE RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-3415
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Country | US
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Telephone | 970-632-9006
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Fax |
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | JOSHUA PIPER
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Credential | DDS
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Telephone | 620-755-2709
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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 |
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License Number State |
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