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General NPI Number Information
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NPI Number | 1700530243
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Entity Type | Individual
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Provider Name | JENNIFER P ALLBRIGHT RDH
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 805 IVY AVE STE B
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City | TILLAMOOK
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State | OR
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Zip | 97141-3758
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Country | US
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Telephone | 503-842-3929
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Fax | 503-842-6099
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | TILLAMOOK
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State | OR
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Zip | 97141-0489
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Country | US
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Telephone | 503-842-3929
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Fax | 503-842-6099
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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 |
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License Number State |
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