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General NPI Number Information
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NPI Number | 1366916421
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Entity Type | Individual
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Provider Name | DRAGINJA POKRAJAC RDH
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Gender | Female
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 10/22/2023
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Provider Practice Location Address
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Address Line | 101 FAIRMONT PL
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City | BURLINGTON
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State | VT
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Zip | 05408-1929
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Country | US
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Telephone | 802-363-6289
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Fax |
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Provider Business Mailing Address
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Address Line | 35 HILLSIDE CIR
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City | ESSEX JCT
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State | VT
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Zip | 05452-3968
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Country | US
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Telephone | 802-363-6289
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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 | 015.0104814
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License Number State | VT
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