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General NPI Number Information
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NPI Number | 1225590961
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Entity Type | Individual
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Provider Name | NINA HYVARINEN JONES DDS
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 745 UNIVERSITY VILLAGE DR
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-7613
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Country | US
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Telephone | 803-754-9160
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 AMHERST AVE
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City | COLUMBIA
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State | SC
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Zip | 29205-1805
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Country | US
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Telephone | 561-685-4407
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9502
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License Number State | SC
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