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General NPI Number Information
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NPI Number | 1164342903
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Entity Type | Individual
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Provider Name | HANNAH CERAVOLO DMD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA STREET BUILDING 993
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City | OAK HARBOR
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State | WA
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Zip | 98278-8800
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Country | US
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Telephone | 360-257-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 259 SE ELY ST UNIT A1
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City | OAK HARBOR
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State | WA
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Zip | 98277-5225
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS045904
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License Number State | PA
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