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General NPI Number Information
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NPI Number | 1194541045
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Entity Type | Individual
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Provider Name | ANTIONETTE ARMSTRONG RDH
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 3500 JOHN A MERRITT BLVD
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City | NASHVILLE
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State | TN
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Zip | 37209-1561
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Country | US
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Telephone | 615-962-5792
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Fax |
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Provider Business Mailing Address
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Address Line | 6216 DEL SOL DR
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City | WHITES CREEK
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State | TN
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Zip | 37189-2902
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Country | US
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Telephone | 931-626-0473
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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 | 5694
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License Number State | TN
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