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General NPI Number Information
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NPI Number | 1518105873
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Entity Type | Individual
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Provider Name | REBECCA ANN ANDERSON RDHAP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2009
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 933 DUNCAN RD
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City | BELGRADE
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State | MT
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Zip | 59714-8187
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Country | US
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Telephone | 805-390-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 933 DUNCAN RD
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City | BELGRADE
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State | MT
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Zip | 59714-8187
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Country | US
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Telephone | 805-390-8899
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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 | HAP222
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 19758
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 1368
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License Number State | MT
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