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General NPI Number Information
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NPI Number | 1780571471
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Entity Type | Organization
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Legal Business Name | SMYL DENTAL HYGIENE
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1512 GRAND AVE #102, GLENWOOD SPRINGS, CO 81601
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601
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Country | US
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Telephone | 970-945-1169
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1077
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City | SILT
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State | CO
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Zip | 81652
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Country | US
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Telephone | 970-987-7700
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Fax |
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Authorized Official
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Title or Position | RDH
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Name | MIRIAM SALVIDREZ
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Credential |
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Telephone | 970-987-7700
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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 |
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License Number State |
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