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NPI 1790398402

NPI 1790398402 : CASEY ERIN RHINES DDS : AURORA, CO

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General NPI Number Information
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    NPI Number           |    1790398402
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    Entity Type          |    Individual 
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    Provider Name        |    CASEY ERIN RHINES DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2020
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    Last Update Date     |    01/04/2024
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Provider Practice Location Address
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    Address Line         |    13065 E 17TH AVE 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80045-2532
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    Country              |    US
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    Telephone            |    303-724-6900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17994 STONEBROOK DR 
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    City                 |    NORTHVILLE
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    State                |    MI
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    Zip                  |    48168-4330
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    Country              |    US
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    Telephone            |    734-679-2093
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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.00205841
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    License Number State |    CO
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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       |    2901600628
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    License Number State |    MI
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