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General NPI Number Information
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NPI Number | 1396590881
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Entity Type | Individual
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Provider Name | MELINDA REBHOLZ RDH
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Gender | Female
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Dates
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Enumeration Date | 04/18/2024
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 411 OAK ST
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City | CINCINNATI
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State | OH
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Zip | 45219-2504
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Country | US
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Telephone | 513-180-0984
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Fax | 513-984-4909
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Provider Business Mailing Address
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Address Line | 7094 64TH WAY N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4022
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Country | US
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Telephone | 412-396-9628
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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 |
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License Number State |
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