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General NPI Number Information
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NPI Number | 1780096792
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Entity Type | Organization
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Legal Business Name | HYGIENIST RECOMMENDED INC
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Dates
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Enumeration Date | 05/25/2014
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 2790 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072-1630
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Country | US
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Telephone | 248-439-0088
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Fax | 248-439-2900
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Provider Business Mailing Address
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Address Line | 2790 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072-1630
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Country | US
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Telephone | 248-439-0088
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Fax | 248-439-2900
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIELLE CANDICE PIETRASZEWSKI
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Credential | RDH
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Telephone | 248-496-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901013810
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2902015237
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 2902015237
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #7
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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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