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General NPI Number Information
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NPI Number | 1669989307
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Entity Type | Individual
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Provider Name | VICTORIA ROSE BILLS RDH
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Gender | Female
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3891 STADIUM WAY DEPT 3920
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City | OGDEN
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State | UT
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Zip | 84408-8369
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Country | US
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Telephone | 801-626-6830
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 N 2700 W
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City | CLINTON
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State | UT
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Zip | 84015-8369
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Country | US
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Telephone | 385-626-1748
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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 | 83133509920
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License Number State | UT
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