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General NPI Number Information
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NPI Number | 1124450747
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Entity Type | Individual
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Provider Name | TAMRA DOWDY RDH
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 101 W 5TH ST
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City | RAINIER
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State | OR
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Zip | 97048-2634
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Country | US
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Telephone | 907-444-6811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1685
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City | BARROW
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State | AK
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Zip | 99723-1685
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Country | US
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Telephone | 907-444-6811
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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 | H2280
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License Number State | OR
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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 | 2026
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License Number State | AK
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