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General NPI Number Information
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NPI Number | 1124346721
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Entity Type | Individual
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Provider Name | BETH ANN TETZNER DENTAL HYGIENIST
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Gender | Female
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 300 MAIN ST W SIDE B
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City | ASHLAND
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State | WI
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Zip | 54806-1619
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Country | US
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Telephone | 715-685-2200
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Fax | 715-685-2202
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Provider Business Mailing Address
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Address Line | 30840 WANNEBO RD
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City | WASHBURN
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State | WI
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Zip | 54891-5891
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Country | US
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Telephone | 715-685-2200
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Fax | 715-685-1023
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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 | 10685016
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License Number State | WI
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