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NPI 1679796049

NPI 1679796049 : MICHAEL JAMES FRANQUEMONT DDS : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1679796049
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL JAMES FRANQUEMONT DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/11/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6650 S VINE ST SUITE 260
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80121-2769
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    Country              |    US
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    Telephone            |    303-795-0066
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    Fax                  |    303-794-2370
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Provider Business Mailing Address
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    Address Line         |    6650 S VINE ST SUITE 260
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80121-2769
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    Country              |    US
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    Telephone            |    303-795-0066
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    Fax                  |    303-794-2370
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    8872
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    License Number State |    CO
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