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General NPI Number Information
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NPI Number | 1861541518
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Entity Type | Organization
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Legal Business Name | DR. ASHRAF W SEDHOM-BDS MD PC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 11246 E MISSISSIPPI AVE
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City | AURORA
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State | CO
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Zip | 80012-3202
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Country | US
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Telephone | 303-344-0810
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Fax | 303-344-5309
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Provider Business Mailing Address
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Address Line | 11246 E MISSISSIPPI AVE
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City | AURORA
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State | CO
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Zip | 80012-3202
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Country | US
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Telephone | 303-344-0810
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Fax | 303-344-5309
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | ASHRAF W SEDHOM
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Credential | M.D.
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Telephone | 303-344-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6616
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License Number State | CO
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