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General NPI Number Information
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NPI Number | 1740429752
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Entity Type | Individual
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Provider Name | LAWRENCE MUSANJE DDS
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Gender | Male
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 6999 W ALASKA DR
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City | LAKEWOOD
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State | CO
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Zip | 80226-3223
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Country | US
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Telephone | 303-237-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 6999 W ALASKA DR
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City | LAKEWOOD
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State | CO
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Zip | 80226-3223
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Country | US
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Telephone | 303-237-2300
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN-9842
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License Number State | CO
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