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General NPI Number Information
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NPI Number | 1912264318
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Entity Type | Individual
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Provider Name | PAUL CONRAD DORAN DMD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 9881 FOXHILL CIR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-4330
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Country | US
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Telephone | 303-683-0110
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Fax | 303-683-0111
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Provider Business Mailing Address
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Address Line | 9881 FOXHILL CIR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-4330
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Country | US
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Telephone | 303-683-0110
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Fax | 303-683-0111
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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-4360
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License Number State | CO
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