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General NPI Number Information
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NPI Number | 1730636804
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Entity Type | Organization
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Legal Business Name | SYRPES AND PANGBORN DDS
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 6855 S HAVANA ST SUITE 540
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City | CENTENNIAL
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State | CO
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Zip | 80112-3837
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Country | US
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Telephone | 303-893-3636
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Fax | 303-893-3637
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Provider Business Mailing Address
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Address Line | 6855 S HAVANA ST SUITE 540
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City | CENTENNIAL
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State | CO
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Zip | 80112-3837
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Country | US
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Telephone | 303-893-3636
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Fax | 303-893-3637
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DEMETRIOS CHRIS SYRPES
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Credential | DDS
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Telephone | 303-893-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State | CO
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