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General NPI Number Information
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NPI Number | 1730092479
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Entity Type | Organization
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Legal Business Name | JULIE'S MOBILE DENTAL HYGIENE LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 11 SACRED VISTA ROAD
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City | EL PRADO
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State | NM
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Zip | 87529
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Country | US
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Telephone | 575-770-9181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1605
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City | EL PRADO
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State | NM
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Zip | 87529-1605
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Country | US
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Telephone | 575-770-9181
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE ARNESON
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Credential | RDH
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Telephone | 575-770-9181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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