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General NPI Number Information
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NPI Number | 1730853011
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Entity Type | Individual
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Provider Name | CARINA HERNANDEZ GUERRERO RDH
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 6100 REDWOOD BLVD
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City | NOVATO
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State | CA
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Zip | 94945-4501
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Country | US
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Telephone | 415-448-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1128
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City | BOYES HOT SPRINGS
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State | CA
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Zip | 95416-1128
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Country | US
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Telephone | 707-721-5679
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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 | 34310
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License Number State | CA
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