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General NPI Number Information
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NPI Number | 1679227805
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Entity Type | Individual
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Provider Name | BRENDA ELIZABETH CHAN RDH
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Gender | Female
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1339 S FEDERAL BLVD
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City | DENVER
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State | CO
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Zip | 80219-4235
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Country | US
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Telephone | 303-602-4322
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Fax |
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Provider Business Mailing Address
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Address Line | 7258 S GORE RANGE RD
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City | LITTLETON
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State | CO
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Zip | 80127-3229
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Country | US
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Telephone | 571-356-5676
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Fax |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH.002026314
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License Number State | CO
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