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NPI 1538018361

NPI 1538018361 : HEALTHY HABITS OROFACIAL MYOLOGY LLC : LONGMONT, CO

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General NPI Number Information
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    NPI Number           |    1538018361
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHY HABITS OROFACIAL MYOLOGY LLC 
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Dates
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    Enumeration Date     |    01/26/2026
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    2204 18TH AVE STE 228 
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80501-9724
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    Country              |    US
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    Telephone            |    720-928-1259
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    Fax                  |    720-552-6010
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Provider Business Mailing Address
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    Address Line         |    2132 REDFIELD CIR 
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80504-9210
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    Country              |    US
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    Telephone            |    720-928-1259
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    Fax                  |    720-552-6010
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Authorized Official
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    Title or Position    |    THERAPIST/ OWNER
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    Name                 |    MRS. JENNIFER L HOSBURGH 
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    Credential           |    RDH, OMT
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    Telephone            |    720-928-1259
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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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