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General NPI Number Information
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NPI Number | 1619803830
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Entity Type | Individual
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Provider Name | YVONNE SYNNOVE SHIRINZADEH RDH
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 427 12TH ST
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City | PLUMMER
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State | ID
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Zip | 83851-4000
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Country | US
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Telephone | 208-686-1931
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | PLUMMER
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State | ID
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Zip | 83851-0351
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Country | US
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Telephone | 509-366-2715
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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 | DH-1192
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License Number State | ID
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