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General NPI Number Information
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NPI Number | 1972293520
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Entity Type | Individual
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Provider Name | SAMANTHA GIRARD DDS
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Gender | Female
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1105 S COLLEGE RD STE B
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City | LAFAYETTE
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State | LA
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Zip | 70503-3067
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Country | US
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Telephone | 337-205-3858
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Fax |
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Provider Business Mailing Address
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Address Line | 9579 S UNIVERSITY BLVD UNIT 400
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-8106
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Country | US
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Telephone | 337-212-9569
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN.00205599
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7588
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License Number State | LA
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