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General NPI Number Information
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NPI Number | 1720142946
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Entity Type | Individual
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Provider Name | ADRIENNE HEDRICK
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3865 CHERRY CREEK NORTH DR SUITE 200
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City | DENVER
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State | CO
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Zip | 80209-3803
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Country | US
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Telephone | 303-321-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 650 INTERNATIONAL PKWY SUITE 100
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City | RICHARDSON
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State | TX
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Zip | 75081-6612
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Country | US
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Telephone | 303-321-1181
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Fax |
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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 | DEN9186
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License Number State | CO
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