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General NPI Number Information
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NPI Number | 1013844141
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Entity Type | Individual
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Provider Name | PAYTON RENEE YENTER RDH
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 1810 N 2ND ST
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City | WAUSAU
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State | WI
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Zip | 54403-3492
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Country | US
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Telephone | 715-848-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 175360 COUNTY RD N
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City | RINGLE
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State | WI
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Zip | 54471-6145
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Country | US
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Telephone | 715-870-1296
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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 | 1003569-16
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License Number State | WI
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