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General NPI Number Information
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NPI Number | 1649161191
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Entity Type | Individual
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Provider Name | KATIE ELIZABETH LATULIP RDH, IPDH
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 238 NORTH ST
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City | SACO
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State | ME
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Zip | 04072-1870
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Country | US
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Telephone | 603-366-6132
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Fax |
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Provider Business Mailing Address
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Address Line | 108 CYR RD
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City | LITTLETON
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State | NH
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Zip | 03561-3704
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Country | US
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Telephone | 603-366-6132
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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 | RDH4663
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License Number State | ME
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