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General NPI Number Information
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NPI Number | 1972836187
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Entity Type | Organization
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Legal Business Name | DR. DAVID VERLINICH LLC DBA ERIE ORTHODONTICS
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 615 MITCHELL WAY, SUITE 106
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City | ERIE
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State | CO
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Zip | 80516
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Country | US
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Telephone | 720-890-1600
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Fax | 720-890-1602
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Provider Business Mailing Address
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Address Line | 1976 JUNIPER WAY
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City | ERIE
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State | CO
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Zip | 80516-7966
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Country | US
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Telephone | 720-890-1600
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Fax | 720-890-1602
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DAVID VERLINICH
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Credential | D.D.S., M.S.
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Telephone | 720-890-1600
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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 | 9616
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License Number State | CO
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