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General NPI Number Information
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NPI Number | 1578834792
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Entity Type | Individual
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Provider Name | CORLISS KELLY HALES RDH
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 15182 N. 75TH AVE
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 623-878-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 15182 N. 75TH AVE.
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 623-878-2400
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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 | H6119
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License Number State | AZ
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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 | H3927
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License Number State | OR
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