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General NPI Number Information
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NPI Number | 1497699144
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Entity Type | Individual
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Provider Name | ANABELLE TAINE ENGLESON RDH
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1132 PRAIRIE ST
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City | AURORA
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State | IL
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Zip | 60506-5431
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Country | US
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Telephone | 630-892-8711
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Fax |
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Provider Business Mailing Address
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Address Line | 460 N EDWARD ST
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City | CORTLAND
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State | IL
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Zip | 60112-4117
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Country | US
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Telephone |
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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 | 020018551
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License Number State | IL
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