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General NPI Number Information
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NPI Number | 1770606717
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Entity Type | Individual
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Provider Name | JOHN THOMAS RAABE D.D.S.,
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 155 COOK ST STE 351
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City | DENVER
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State | CO
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Zip | 80206-5329
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Country | US
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Telephone | 303-320-0160
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Fax | 303-393-8255
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Provider Business Mailing Address
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Address Line | 155 COOK ST STE 351
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City | DENVER
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State | CO
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Zip | 80206-5329
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Country | US
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Telephone | 303-320-0160
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Fax | 303-393-8255
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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 | 6731
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License Number State | CO
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