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General NPI Number Information
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NPI Number | 1700559127
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Entity Type | Organization
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Legal Business Name | BRANIN BROOMFIELD, PLLC
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 340 E 1ST AVE STE 205
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City | BROOMFIELD
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State | CO
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Zip | 80020-2454
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Country | US
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Telephone | 720-784-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SUPERIOR DR STE 275
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City | SUPERIOR
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State | CO
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Zip | 80027-8657
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Country | US
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Telephone | 303-875-8896
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Fax |
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Authorized Official
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Title or Position | CDO
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Name | MEGAN GIGGEY
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Credential |
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Telephone | 303-875-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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