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General NPI Number Information
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NPI Number | 1174336259
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Entity Type | Individual
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Provider Name | ISOLYN REBECCA GUY RDH
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 480 GENESEE ST
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City | ROCHESTER
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State | NY
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Zip | 14611-3634
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Country | US
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Telephone | 585-436-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 597 DEWEY AVE
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City | ROCHESTER
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State | NY
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Zip | 14613-2340
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Country | US
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Telephone | 585-448-4614
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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 | 03291801
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License Number State | NY
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