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General NPI Number Information
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NPI Number | 1558224212
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Entity Type | Individual
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Provider Name | NATASHA V KOVALENKO RDH
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 825 HARBOR BLVD
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-2201
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Country | US
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Telephone | 916-372-8525
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Fax | 916-372-5971
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Provider Business Mailing Address
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Address Line | 3745 HENSHAW RD
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-5486
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Country | US
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Telephone | 916-634-6775
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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 | RDH23986
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License Number State | CA
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