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General NPI Number Information
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NPI Number | 1770743387
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Entity Type | Individual
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Provider Name | MARK ROBERT AUBLE D.D.S., M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 1996 ROCKY MOUNTAIN AVE
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City | LOVELAND
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State | CO
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Zip | 80538-8647
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Country | US
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Telephone | 970-669-4802
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Fax | 970-669-9232
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Provider Business Mailing Address
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Address Line | 1996 ROCKY MOUNTAIN AVE
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City | LOVELAND
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State | CO
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Zip | 80538-8647
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Country | US
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Telephone | 970-669-4802
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Fax | 970-669-9232
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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 | DS-037905
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6755
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DR.0055864
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License Number State | CO
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Taxonomy #4
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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.00202539
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License Number State | CO
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