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General NPI Number Information
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NPI Number | 1114756814
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Entity Type | Individual
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Provider Name | RACHEL E RIKER RDH
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 2 GLEN RD
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City | WESTPORT
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State | MA
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Zip | 02790-1380
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Country | US
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Telephone | 774-930-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 160 PROSPECT ST
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City | HINGHAM
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State | MA
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Zip | 02043-3441
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Country | US
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Telephone | 781-910-5373
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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 | DH10378
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License Number State | MA
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