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General NPI Number Information
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NPI Number | 1710450192
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Entity Type | Organization
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Legal Business Name | ABS DENTISTRY PLLC
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 2101 S CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80222-5006
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Country | US
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Telephone | 303-691-3333
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Fax | 720-666-6036
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Provider Business Mailing Address
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Address Line | 2101 S CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80222-5006
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Country | US
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Telephone | 303-691-3333
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Fax | 720-666-6036
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ATOUSA B SAFAVI
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Credential | MS, DDS
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Telephone | 919-428-4525
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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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Taxonomy #2
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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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