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General NPI Number Information
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NPI Number | 1144373531
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Entity Type | Individual
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Provider Name | SYLVIA LASHAWN TOOMER DENTAL HYGIENIST
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 90 HOPE DR BLDG 6000
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City | MOUNTAIN HOME AFB
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State | ID
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Zip | 83648-1062
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Country | US
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Telephone | 208-828-7300
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Fax | 208-828-3784
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Provider Business Mailing Address
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Address Line | 1635 CASTLE WAY
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City | MOUNTAIN HOME
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State | ID
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Zip | 83647-3732
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Country | US
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Telephone | 208-587-7809
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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 | DH19389
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License Number State | FL
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