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General NPI Number Information
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NPI Number | 1467349423
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Entity Type | Individual
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Provider Name | HEATHER HORNER EPDH
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 7460 SW HUNZIKER RD STE H
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City | TIGARD
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State | OR
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Zip | 97223-8244
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Country | US
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Telephone | 503-521-7166
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Fax |
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Provider Business Mailing Address
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Address Line | 14002 SE LE ANN CT
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City | BORING
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State | OR
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Zip | 97009-9010
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Country | US
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Telephone | 503-702-7999
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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 | H5784
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License Number State | OR
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