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General NPI Number Information
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NPI Number | 1871740092
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Entity Type | Organization
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Legal Business Name | BEABER FAMILY ORTHODONTICS
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 9425 S UNIVERSITY BLVD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-4976
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Country | US
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Telephone | 303-694-1711
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Fax | 303-694-1911
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Provider Business Mailing Address
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Address Line | 9425 S UNIVERSITY BLVD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-4976
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Country | US
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Telephone | 303-694-1711
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Fax | 303-694-1911
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. WILLIAM DOUGLAS BEABER
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Credential | DMD
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Telephone | 303-694-1711
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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 | 8727
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License Number State | CO
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