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General NPI Number Information
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NPI Number | 1235947839
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Entity Type | Individual
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Provider Name | COLBI BROOKE HARDY RDH, BSDH
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Gender | Female
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 104 EASTPARK DR STE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-7535
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Country | US
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Telephone | 615-373-8307
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 BELL RD APT 1128
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City | NASHVILLE
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State | TN
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Zip | 37211-7359
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Country | US
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Telephone | 931-205-1588
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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 | 10481
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License Number State | TN
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