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General NPI Number Information
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NPI Number | 1295962421
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Entity Type | Individual
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Provider Name | HELEN HAYES ABBOTT-MCKIBBEN RDH
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Gender | Female
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 4013 84TH ST
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City | LUBBOCK
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State | TX
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Zip | 79423-1913
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Country | US
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Telephone | 806-794-8365
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Fax |
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Provider Business Mailing Address
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Address Line | 9206 WAYNE AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-4838
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Country | US
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Telephone | 806-771-7171
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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 | 8604
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License Number State | TX
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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 | 638
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License Number State | NM
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