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General NPI Number Information
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NPI Number | 1649162900
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Entity Type | Individual
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Provider Name | TAYLOR RAE HAMBY DMD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 112 NE 5TH AVE
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City | MILTON FREEWATER
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State | OR
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Zip | 97862-1704
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Country | US
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Telephone | 541-809-7043
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Fax |
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Provider Business Mailing Address
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Address Line | 44660 TRAILS END LN
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City | PENDLETON
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State | OR
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Zip | 97801-9554
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D12208
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License Number State | OR
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