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General NPI Number Information
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NPI Number | 1154530962
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Entity Type | Individual
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Provider Name | CHRISTINE N NATHE RDH
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2320 TUCKER AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-272-8147
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 SILVERY MINNOW PL NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-4741
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Country | US
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Telephone | 505-833-1552
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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 | 1230
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License Number State | NM
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