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General NPI Number Information
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NPI Number | 1760152656
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Entity Type | Individual
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Provider Name | JEWELENA RENE ECHEAGARAY RDA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1108 CORPORATE WAY STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95831-6119
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Country | US
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Telephone | 916-424-1703
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Fax |
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Provider Business Mailing Address
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Address Line | 7550 RUSH RIVER DR APT 43
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City | SACRAMENTO
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State | CA
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Zip | 95831-4939
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Country | US
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Telephone | 559-210-2260
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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 | RDH37145
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License Number State | CA
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