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General NPI Number Information
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NPI Number | 1851455240
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Entity Type | Organization
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Legal Business Name | JOHN M. TRAUL, DDS, PC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 51241 HIGHWAY 6 STE 3
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-2577
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Country | US
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Telephone | 970-945-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 51241 HIGHWAY 6 STE 3
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-2577
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Country | US
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Telephone | 970-945-8525
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN M. TRAUL
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Credential | D.D.S.,P.C.
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Telephone | 970-945-8525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 130
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License Number State | CO
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