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General NPI Number Information
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NPI Number | 1831456359
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Entity Type | Individual
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Provider Name | SUZANNE L DELIMA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2012
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 23963 E PROSPECT AVE # HV2BE
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City | AURORA
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State | CO
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Zip | 80016-5342
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Country | US
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Telephone | 303-400-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 23963 E PROSPECT AVE # HV2BE
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City | AURORA
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State | CO
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Zip | 80016-5342
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Country | US
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Telephone | 303-400-9898
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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 | 30.023666
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 00202377
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License Number State | CO
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