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General NPI Number Information
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NPI Number | 1720911902
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Entity Type | Individual
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Provider Name | MACKENNA LEE BONDS RDH
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 2965 EAST ST
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City | ANDERSON
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State | CA
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Zip | 96007-3481
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Country | US
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Telephone | 530-378-0486
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 A ST
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City | REDDING
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State | CA
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Zip | 96002-2017
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Country | US
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Telephone | 530-440-6719
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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 | 38226
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License Number State | CA
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