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General NPI Number Information
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NPI Number | 1720073158
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Entity Type | Individual
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Provider Name | KEMIE D HOUSTON D.D.S.,M.S.,P.C.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 125 INVERNESS DR E SUITE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5137
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Country | US
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Telephone | 303-779-5306
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Fax | 303-779-1822
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Provider Business Mailing Address
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Address Line | 125 INVERNESS DR E SUITE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5137
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Country | US
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Telephone | 303-779-5306
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Fax | 303-779-1822
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6881
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License Number State | CO
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