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General NPI Number Information
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NPI Number | 1093489544
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Entity Type | Individual
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Provider Name | PAMELA BARBER RDH
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Gender | Female
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 100 BREWSTER BLVD
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2575
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Country | US
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Telephone | 910-450-4740
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Fax |
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Provider Business Mailing Address
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Address Line | 162 KELLY CIR
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City | HUBERT
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State | NC
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Zip | 28539-3726
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Country | US
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Telephone | 910-389-5115
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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 | 1875
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License Number State | NC
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