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General NPI Number Information
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NPI Number | 1598528069
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Entity Type | Organization
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Legal Business Name | HYGIENIST NEXT DOOR
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 13881 6355 LN
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City | MONTROSE
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State | CO
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Zip | 81403-9007
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Country | US
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Telephone | 303-619-1566
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Fax |
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Provider Business Mailing Address
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Address Line | 13881 6355 LN
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City | MONTROSE
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State | CO
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Zip | 81403-9007
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Country | US
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Telephone | 303-619-1566
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Fax |
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Authorized Official
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Title or Position | INDEPENDENT DENTAL HYGIENIST
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Name | MRS. AHREN DANIELLE HENRY
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Credential | RDH, BSDH
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Telephone | 303-619-1566
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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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