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General NPI Number Information
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NPI Number | 1205024460
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Entity Type | Individual
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Provider Name | VICTORIA J. FLINT RDH
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Gender | Female
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 221 TRIANGLE DR
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City | FORT COLLINS
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State | CO
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Zip | 80525-7063
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Country | US
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Telephone | 970-204-0227
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Fax | 970-377-1746
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Provider Business Mailing Address
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Address Line | PO BOX 272547
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City | FORT COLLINS
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State | CO
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Zip | 80527-2547
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Country | US
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Telephone | 970-204-0227
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Fax | 970-377-1746
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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 | 201420
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License Number State | CO
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