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General NPI Number Information
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NPI Number | 1174926786
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Entity Type | Individual
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Provider Name | RUTH H REICH CHANDLER RDHAP, RDH
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Gender | Female
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Dates
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Enumeration Date | 09/27/2014
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Last Update Date | 08/08/2015
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Provider Practice Location Address
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Address Line | 2913 EL CAMINO REAL #438
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City | TUSTIN
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State | CA
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Zip | 92782-8909
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Country | US
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Telephone | 714-673-5766
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Fax |
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Provider Business Mailing Address
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Address Line | 2913 EL CAMINO REAL #438
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City | TUSTIN
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State | CA
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Zip | 92782-8909
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Country | US
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Telephone | 714-673-5766
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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 | HAP 540
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License Number State | CA
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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 | RDH 10299
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License Number State | CA
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