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General NPI Number Information
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NPI Number | 1336044361
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY DENTAL HYGIENE PRACTICE OF N. RODRIGUEZ, RDHAP INC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 4007 N MARKS AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93722-4555
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Country | US
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Telephone | 559-690-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 N WILLOW AVE STE 105
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City | CLOVIS
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State | CA
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Zip | 93611-4411
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Country | US
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Telephone | 559-690-6651
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Fax |
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Authorized Official
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Title or Position | REGISTERED DENTAL HYGIENE
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Name | NANCY RODRIGUEZ
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Credential | RDHAP
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Telephone | 559-690-6651
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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 |
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License Number State | NULL
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