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General NPI Number Information
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NPI Number | 1841713948
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Entity Type | Organization
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Legal Business Name | HAMPDEN DENTAL PLLC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7090 E HAMPDEN AVE STE A
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City | DENVER
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State | CO
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Zip | 80224-3022
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Country | US
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Telephone | 303-758-1113
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Fax | 303-758-1625
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Provider Business Mailing Address
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Address Line | 7090 E HAMPDEN AVE STE A
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City | DENVER
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State | CO
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Zip | 80224-3022
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Country | US
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Telephone | 303-758-1113
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Fax | 303-758-1625
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Authorized Official
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Title or Position | DENTIST
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Name | BENJAMIN BASSETT
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Credential | DDS
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Telephone | 303-758-1113
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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 | 202814
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License Number State | CO
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