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General NPI Number Information
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NPI Number | 1326365248
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Entity Type | Organization
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Legal Business Name | DEBRA ANNE HARTMAN PROFESSIONAL DENTAL HYGIENE CORPORATION
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Dates
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Enumeration Date | 05/02/2010
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Last Update Date | 05/02/2010
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Provider Practice Location Address
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Address Line | 20229 E LORENCITA DR
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City | COVINA
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State | CA
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Zip | 91724-3834
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Country | US
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Telephone | 909-208-7886
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Fax | 626-967-4002
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Provider Business Mailing Address
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Address Line | 20229 E LORENCITA DR
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City | COVINA
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State | CA
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Zip | 91724-3834
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Country | US
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Telephone | 909-208-7886
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Fax | 626-967-4002
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Authorized Official
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Title or Position | PRES/CEO
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Name | MS. DEBRA ANNE HARTMAN
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Credential | RDHAP
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Telephone | 909-208-7886
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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 | HAP102
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License Number State | CA
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