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General NPI Number Information
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NPI Number | 1013575240
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Entity Type | Individual
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Provider Name | JESSICA ANNE MAHLMANN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 3401 COFFEE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5079
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Country | US
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Telephone | 661-695-3044
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Fax |
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Provider Business Mailing Address
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Address Line | 10910 GOLDEN VALLEY DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9122
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Country | US
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Telephone | 805-208-8225
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 103718
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License Number State | CA
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