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General NPI Number Information
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NPI Number | 1710811336
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Entity Type | Individual
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Provider Name | TEISHA DESHON HOCKER
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 503 E 26TH ST
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City | TACOMA
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State | WA
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Zip | 98421-1343
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Country | US
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Telephone | 253-881-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 68TH ST SE
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City | AUBURN
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State | WA
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Zip | 98092-8153
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Country | US
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Telephone | 206-478-7511
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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 | DEHY.DH.61479598
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License Number State | WA
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