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General NPI Number Information
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NPI Number | 1174321715
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Entity Type | Individual
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Provider Name | TARYN MYERS RDH
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Gender | Female
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1301 POTOMAC AVE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3318
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Country | US
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Telephone | 301-476-5675
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Fax |
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Provider Business Mailing Address
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Address Line | 1223 DALLAS DR
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City | GREENCASTLE
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State | PA
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Zip | 17225-8578
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Country | US
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Telephone | 717-491-7218
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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 | DH069083
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 5566
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License Number State | MD
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