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General NPI Number Information
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NPI Number | 1780208413
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Entity Type | Organization
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Legal Business Name | STANBRICK DENTAL, PC
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 9400 STATION ST STE 175
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City | LONE TREE
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State | CO
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Zip | 80124-6821
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Country | US
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Telephone | 303-779-2797
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 842840
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City | DALLAS
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State | TX
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Zip | 75284-2840
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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 | INSURANCE BILLING MANAGER
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Name | AMANDA LYNN DUNCAN
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Credential |
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Telephone | 720-729-8572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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