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General NPI Number Information
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NPI Number | 1134905615
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Entity Type | Organization
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Legal Business Name | BALANCED DENTAL HYGIENE SUITE
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 68 BEN PAUL LN STE B
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City | ROCKPORT
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State | ME
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Zip | 04856-4452
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Country | US
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Telephone | 207-542-3079
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Fax | 207-708-4788
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Provider Business Mailing Address
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Address Line | 88 HOSMER POND RD
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City | CAMDEN
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State | ME
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Zip | 04843-4218
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Country | US
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Telephone | 207-542-0526
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Fax |
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Authorized Official
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Title or Position | OWNER/SHAREHOLDER
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Name | KALA HOLBROOKE MYERS-FRENCH
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Credential | RDH, IPDH
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Telephone | 207-542-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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