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General NPI Number Information
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NPI Number | 1326322603
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Entity Type | Individual
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Provider Name | ALYNN VIENOT HAYES RDH, MPH
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 19029 BEAVERCREEK RD
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City | OREGON CITY
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State | OR
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Zip | 97045-9537
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Country | US
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Telephone | 503-941-3064
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Fax |
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Provider Business Mailing Address
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Address Line | 7320 SW HUNZIKER RD STE 300
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City | TIGARD
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State | OR
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Zip | 97223-2302
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Country | US
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Telephone | 503-567-2550
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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 | 905263
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License Number State | CO
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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 | H5701
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License Number State | OR
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