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General NPI Number Information
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NPI Number | 1881089282
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Entity Type | Individual
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Provider Name | CRAIG OWENS DDS
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Gender | Male
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 1407 W 84TH AVE # SUTITEB8
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City | DENVER
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State | CO
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Zip | 80260-4781
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Country | US
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Telephone | 719-323-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 2990 E 17TH AVE APT 303
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City | DENVER
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State | CO
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Zip | 80206-1673
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Country | US
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Telephone | 303-349-1745
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 00202475
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License Number State | CO
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