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General NPI Number Information
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NPI Number | 1114066362
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Entity Type | Organization
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Legal Business Name | DENTAL HYGIENE LIMITED
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 863 I ST STE B
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City | LOS BANOS
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State | CA
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Zip | 93635-4310
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Country | US
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Telephone | 209-826-5992
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Fax | 209-826-6268
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Provider Business Mailing Address
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Address Line | 863 I ST STE B
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City | LOS BANOS
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State | CA
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Zip | 93635-4310
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Country | US
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Telephone | 209-826-5992
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Fax | 209-826-6268
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Authorized Official
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Title or Position | PARTNER
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Name | NIKKI CLAIRE SMITH
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Credential | RDHAP 4
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Telephone | 209-826-5992
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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 | RDHAP 4
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License Number State | CA
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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 | RDHAP 3
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | RDHAP 5
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License Number State | CA
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