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General NPI Number Information
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NPI Number | 1891927265
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Entity Type | Organization
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Legal Business Name | INSPIRE ORTHODONTICS
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 200 W COUNTY LINE RD SUITE 260
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2360
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Country | US
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Telephone | 303-754-0040
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Fax | 303-662-0138
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Provider Business Mailing Address
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Address Line | 200 WEST COUNTY LINE RD SUITE 260
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129
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Country | US
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Telephone | 303-754-0040
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Fax | 303-662-0138
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | WADE HOUSEWRIGHT
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Credential | DDS, MS
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Telephone | 303-754-0040
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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 | 8767
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License Number State | CO
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