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General NPI Number Information
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NPI Number | 1710534888
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Entity Type | Organization
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Legal Business Name | NINE TREASURES PLLC
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 8120 S HOLLY ST STE 102
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City | CENTENNIAL
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State | CO
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Zip | 80122-4006
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Country | US
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Telephone | 303-773-9400
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Fax | 303-773-9518
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Provider Business Mailing Address
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Address Line | 8120 S HOLLY ST STE 102
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City | CENTENNIAL
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State | CO
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Zip | 80122-4006
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Country | US
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Telephone | 303-773-9400
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Fax | 303-773-9518
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Authorized Official
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Title or Position | OWNER
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Name | ANUJ SURI
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Credential | DDS
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Telephone | 303-773-9400
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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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