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General NPI Number Information
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NPI Number | 1346031622
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Entity Type | Individual
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Provider Name | BLANCA DENISE VERDUGO RDH
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1585 W REDLANDS BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-8023
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Country | US
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Telephone | 909-792-0071
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Fax | 909-307-8310
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Provider Business Mailing Address
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Address Line | 1914 SPRING GARDEN ST
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City | RIVERSIDE
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State | CA
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Zip | 92507-2023
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Country | US
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Telephone | 951-880-5999
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Fax | 951-880-5999
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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 | 35441
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License Number State | CA
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