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General NPI Number Information
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NPI Number | 1740600493
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Entity Type | Individual
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Provider Name | ERIC MICHAEL LOMAS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 755 MALETA LN
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City | CASTLE ROCK
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State | CO
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Zip | 80108-7610
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Country | US
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Telephone | 303-217-8017
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 E 7TH ST
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DEN.00203788
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DEN.00203788
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License Number State | CO
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