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General NPI Number Information
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NPI Number | 1013226505
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Entity Type | Individual
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Provider Name | JENNIFER SOITO RDH
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Gender | Female
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 232 POND ST
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City | NATICK
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State | MA
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Zip | 01760-4366
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Country | US
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Telephone | 508-318-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 26 AMY WAY
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City | TAUNTON
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State | MA
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Zip | 02780-4752
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Country | US
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Telephone | 508-967-7350
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH87096
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License Number State | MA
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