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General NPI Number Information
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NPI Number | 1770458424
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Entity Type | Individual
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Provider Name | THANIA FABIOLA MALDONADO DUBON CRDH
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 3415 LEE BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-1576
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Country | US
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Telephone | 239-344-2385
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Fax | 239-368-0288
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Provider Business Mailing Address
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Address Line | 3009 2ND ST SW
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City | LEHIGH ACRES
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State | FL
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Zip | 33976-2505
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Country | US
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Telephone | 239-544-7476
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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 | DH33197
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License Number State | FL
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