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General NPI Number Information
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NPI Number | 1952771073
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Entity Type | Organization
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Legal Business Name | COLORADO ORTHODONTICS
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 6390 GARDENIA ST UNIT 200
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City | ARVADA
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State | CO
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Zip | 80004-3536
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Country | US
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Telephone | 303-421-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 6390 GARDENIA ST UNIT 200
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City | ARVADA
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State | CO
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Zip | 80004-3536
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Country | US
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Telephone | 303-421-2616
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Fax |
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Authorized Official
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Title or Position | PRACTICING DOCTOR
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Name | DR. JAMES H. MASON JR.
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Credential | DDS
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Telephone | 303-421-2616
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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 | 8327
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License Number State | CO
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