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General NPI Number Information
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NPI Number | 1942415773
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Entity Type | Organization
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Legal Business Name | NORTH DENVER DENTAL PARTNERS, PROF. LLP
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 4450 W 38TH AVE UNIT 110
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City | DENVER
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State | CO
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Zip | 80212-2077
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Country | US
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Telephone | 303-455-2273
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Fax | 303-455-6053
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Provider Business Mailing Address
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Address Line | 4450 W 38TH AVE UNIT 110
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City | DENVER
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State | CO
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Zip | 80212-2077
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Country | US
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Telephone | 303-455-2273
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Fax | 303-455-6053
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Authorized Official
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Title or Position | OWNER, DENTIST
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Name | DR. EVAN GAUBATZ
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Credential | DMD
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Telephone | 303-455-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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