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General NPI Number Information
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NPI Number | 1679039069
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Entity Type | Organization
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Legal Business Name | THE DENTAL TEAM OF LOVELAND
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 446 NORTH GARFIELD AVE
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City | LOVELAND
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State | CO
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Zip | 80537
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Country | US
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Telephone | 970-412-1450
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Fax | 970-624-0458
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Provider Business Mailing Address
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Address Line | 446 NORTH GARFIELD AVE
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City | LOVELAND
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State | CO
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Zip | 80537
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Country | US
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Telephone | 970-541-2183
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Fax | 970-624-0458
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SIMONE NASSIM KALHORN LEONARD
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Credential | DDS
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Telephone | 970-541-2183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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