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General NPI Number Information
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NPI Number | 1487537643
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Entity Type | Organization
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Legal Business Name | COASTAL DENTAL HYGIENE STUDIO
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 330 COMMERCIAL ST STE B
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City | ROCKPORT
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State | ME
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Zip | 04856-4400
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Country | US
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Telephone | 207-542-6044
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HERITAGE LN
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City | HOPE
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State | ME
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Zip | 04847-3453
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Country | US
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Telephone | 207-542-6044
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. AMANDA CATALANO
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Credential | IPDH
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Telephone | 207-542-6044
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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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