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General NPI Number Information
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NPI Number | 1215366588
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Entity Type | Individual
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Provider Name | BRITTANY LEBLEU RDH
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Gender | Female
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 2640 PATTERSON RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1900
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Country | US
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Telephone | 970-241-4937
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Fax |
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Provider Business Mailing Address
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Address Line | 720 LAKE ST
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City | RANGELY
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State | CO
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Zip | 81648-3114
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Country | US
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Telephone | 970-629-9302
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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 | 906370
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License Number State | CO
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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 | 7999679-0701
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License Number State | UT
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