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General NPI Number Information
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NPI Number | 1760940530
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Entity Type | Individual
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Provider Name | LOIS ANN BERNDT DENTAL HYGIENIST
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 895 7TH ST E
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City | SAINT PAUL
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State | MN
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Zip | 55106-3871
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Country | US
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Telephone | 651-793-2216
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Fax | 651-224-1012
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Provider Business Mailing Address
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Address Line | 895 7TH ST E
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City | SAINT PAUL
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State | MN
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Zip | 55106-3871
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Country | US
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Telephone | 651-793-2216
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Fax | 651-224-1012
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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 | H1299
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License Number State | MN
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