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General NPI Number Information
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NPI Number | 1669232310
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Entity Type | Individual
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Provider Name | HANNAH M DUNN DENTAL ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 106 TYREE BLVD
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City | RACINE
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State | OH
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Zip | 45771-5008
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Country | US
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Telephone | 740-444-5247
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-0188
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Country | US
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Telephone | 740-773-4366
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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