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General NPI Number Information
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NPI Number | 1649566506
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Entity Type | Individual
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Provider Name | BARBARA A DEANGELIS RDH
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 1 COURT ST STE 270
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City | LEBANON
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State | NH
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Zip | 03766-6313
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Country | US
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Telephone | 603-448-1830
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Fax |
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Provider Business Mailing Address
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Address Line | 65 MYRTLE ST APT 9D
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City | HILLSBORO
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State | NH
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Zip | 03244-4863
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Country | US
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Telephone | 603-748-4860
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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 | 1684
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License Number State | NH
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