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General NPI Number Information
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NPI Number | 1144048380
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Entity Type | Individual
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Provider Name | REBECCA ALYCE ANDREANO RDH
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Gender | Female
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Dates
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Enumeration Date | 09/27/2024
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 655 METRO PL S STE 600
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City | DUBLIN
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State | OH
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Zip | 43017-3394
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Country | US
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Telephone | 888-964-6681
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CROSSING BLVD STE 300
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5555
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Country | US
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Telephone | 857-255-3315
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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 | 31.011170
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License Number State | OH
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