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General NPI Number Information
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NPI Number | 1437054426
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Entity Type | Organization
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Legal Business Name | HOLISTIC HYGIENE, DENTAL HYGIENE PRACTICE OF CARLY TRAINOR, RDHAP
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 192 E LINE ST STE B
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City | BISHOP
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State | CA
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Zip | 93514-3532
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Country | US
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Telephone | 760-937-1714
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1092
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City | MAMMOTH LAKES
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State | CA
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Zip | 93546-1092
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Country | US
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Telephone | 760-937-1714
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARLY TRAINOR
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Credential |
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Telephone | 760-937-1714
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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 | NULL
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