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General NPI Number Information
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NPI Number | 1073901435
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Entity Type | Individual
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Provider Name | RAMINTA ISAI RDH
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Gender | Female
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 12711 SE MILL PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98684-6053
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Country | US
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Telephone | 360-513-5987
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Fax |
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Provider Business Mailing Address
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Address Line | 7418 SE EVERGREEN HWY
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City | VANCOUVER
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State | WA
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Zip | 98664-1718
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Country | US
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Telephone | 360-513-5987
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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 | H4166
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH00006280
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License Number State | WA
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