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NPI 1992546972

NPI 1992546972 : KATIE HELEN THORNE DDS : BENNETT, CO

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General NPI Number Information
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    NPI Number           |    1992546972
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    Entity Type          |    Individual 
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    Provider Name        |    KATIE HELEN THORNE DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/04/2024
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    Last Update Date     |    06/04/2024
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Provider Practice Location Address
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    Address Line         |    250 E COLFAX AVE 
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    City                 |    BENNETT
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    State                |    CO
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    Zip                  |    80102-8825
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    Country              |    US
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    Telephone            |    303-644-5058
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13005 E EXPOSITION DR 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80012-3524
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    Country              |    US
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    Telephone            |    814-594-0543
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DEN.00206007
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    License Number State |    CO
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