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General NPI Number Information
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NPI Number | 1245144567
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Entity Type | Individual
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Provider Name | ALISON PARK RDH
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 899 N WILMOT RD STE B
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City | TUCSON
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State | AZ
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Zip | 85711-1712
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Country | US
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Telephone | 520-682-4111
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Fax | 520-290-8997
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Provider Business Mailing Address
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Address Line | 9841 S CAMINO DE LA CALINDA
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City | VAIL
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State | AZ
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Zip | 85641-2042
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Country | US
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Telephone | 951-743-4664
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Fax | 520-682-3817
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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 | H010382
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License Number State | AZ
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