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General NPI Number Information
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NPI Number | 1679251730
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Entity Type | Individual
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Provider Name | LUCILLE HILL RDH
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 1312 W 6TH ST
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City | LAWRENCE
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State | KS
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Zip | 66044-2219
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Country | US
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Telephone | 785-841-7297
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Fax | 785-856-0375
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Provider Business Mailing Address
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Address Line | 5832 SE 61ST ST
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City | BERRYTON
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State | KS
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Zip | 66409-9519
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Country | US
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Telephone | 785-383-1693
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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 | 13244
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 3192
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License Number State | NE
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