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General NPI Number Information
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NPI Number | 1942492335
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Entity Type | Individual
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Provider Name | MICHAEL SCOTT PEPPLER DMD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 7430 PARK MEADOWS DR #100
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City | LONE TREE
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State | CO
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Zip | 80124-2559
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Country | US
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Telephone | 303-790-2323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3000 ATTN 91136
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City | SALEM
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State | OR
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Zip | 97302-8001
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Country | US
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Telephone | 971-279-7414
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Fax | 503-315-7227
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8790
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License Number State | CO
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