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General NPI Number Information
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NPI Number | 1326104266
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Entity Type | Individual
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Provider Name | YVETTE JANINE TAFOYA RDH
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6588 E MAIN ST
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City | FARMINGTON
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State | NM
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Zip | 87402-5122
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Country | US
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Telephone | 505-326-6800
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Fax | 505-326-6820
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | FARMINGTON
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State | NM
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Zip | 87499-0281
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Country | US
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Telephone | 505-330-6726
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Fax | 505-564-4966
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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 | DH2773
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License Number State | NM
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