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General NPI Number Information
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NPI Number | 1346081528
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Entity Type | Individual
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Provider Name | CHRISTINE JEFFS RDH
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1795 W 500 S STE B2
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City | SPRINGVILLE
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State | UT
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Zip | 84663-3187
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Country | US
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Telephone | 801-491-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 332 W LAKEVIEW CT
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City | VINEYARD
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State | UT
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Zip | 84059-5572
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Country | US
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Telephone | 801-310-5720
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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 | 7367486-9920
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License Number State | UT
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