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General NPI Number Information
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NPI Number | 1497225262
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Entity Type | Individual
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Provider Name | TATSIANA ZHAMOITSINA RDHAP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 4910 VAN NUYS BLVD STE 204
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1761
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Country | US
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Telephone | 323-695-2174
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Fax | 818-697-0100
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Provider Business Mailing Address
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Address Line | 4910 VAN NUYS BLVD STE 204
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1761
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Country | US
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Telephone | 323-695-2174
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Fax | 818-697-0100
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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 | HAP717
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License Number State | CA
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