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General NPI Number Information
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NPI Number | 1215155072
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Entity Type | Individual
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Provider Name | AILEEN LOU RICHARDSON RDH
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3226 N MILLER RD SUITE 1
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-421-0113
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Fax | 480-421-0113
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Provider Business Mailing Address
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Address Line | 37522 N 22ND ST
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City | PHOENIX
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State | AZ
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Zip | 85086
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Country | US
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Telephone | 623-742-7993
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Fax | 480-421-0115
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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 | 2383
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License Number State | AZ
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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 15685
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 11562
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License Number State | MA
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