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General NPI Number Information
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NPI Number | 1235497652
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Entity Type | Individual
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Provider Name | NATOSHA BAILEY RDH
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Gender | Female
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 2805 GILBERT AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-1210
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Country | US
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Telephone | 513-281-4116
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Fax | 513-475-5982
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Provider Business Mailing Address
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Address Line | 2415 AUBURN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2701
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Country | US
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Telephone | 513-221-4949
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Fax | 513-241-4191
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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 | 31.009011
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License Number State | OH
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