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General NPI Number Information
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NPI Number | 1407667454
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Entity Type | Individual
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Provider Name | FATIMA SMITH RDH
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Gender | Female
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 935 MARKET ST
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City | YUBA CITY
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State | CA
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Zip | 95991-4217
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Country | US
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Telephone | 530-749-4102
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Fax |
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Provider Business Mailing Address
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Address Line | 5596 SUMMERLAND DR
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City | MARYSVILLE
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State | CA
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Zip | 95901-8364
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Country | US
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Telephone | 530-990-6793
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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 | RDH34958
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License Number State | CA
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