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General NPI Number Information
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NPI Number | 1093627820
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Entity Type | Organization
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Legal Business Name | UP NORTH DENTAL HYGIENE, LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 29 MAIN ST STE 4
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City | VAN BUREN
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State | ME
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Zip | 04785-1518
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Country | US
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Telephone | 207-496-8978
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Fax | 207-496-8978
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Provider Business Mailing Address
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Address Line | 254 MARQUIS RD
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City | VAN BUREN
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State | ME
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Zip | 04785-1717
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Country | US
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Telephone | 207-496-8978
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Fax | 207-496-8978
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Authorized Official
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Title or Position | DENTAL HYGIENIST
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Name | HALEY ANN AYOTTE
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Credential | IPDH
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Telephone | 207-493-0857
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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 |
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License Number State |
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