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General NPI Number Information
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NPI Number | 1720282791
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Entity Type | Individual
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Provider Name | SHIRLEY M SMITH BS, RDH, HAP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 28779 UNDERWOOD RD
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City | SALINAS
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State | CA
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Zip | 93908-8923
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Country | US
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Telephone | 831-594-1598
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7233
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City | SPRECKELS
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State | CA
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Zip | 93962-7233
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Country | US
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Telephone | 831-594-1598
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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 | 177
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License Number State | CA
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