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General NPI Number Information
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NPI Number | 1861931149
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Entity Type | Individual
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Provider Name | KRISTIN ANN HUTKIN DMD
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Gender | Female
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 8000 E PRENTICE AVE 3A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 720-459-5517
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Fax |
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Provider Business Mailing Address
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Address Line | 14618 MOORPARK ST APT C
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City | SHERMAN OAKS
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State | CA
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Zip | 91403
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Country | US
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Telephone | 302-373-9298
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DEN.00205035
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DDS106266
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License Number State | CA
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