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General NPI Number Information
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NPI Number | 1790314409
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Entity Type | Individual
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Provider Name | MARGARET LAMMERS CONRAD I RDH,BS
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Gender | Female
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 04/04/2020
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Provider Practice Location Address
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Address Line | 697 MEDICAL PARK LN
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City | GAINESVILLE
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State | GA
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Zip | 30501-2084
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Country | US
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Telephone | 770-718-1800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | SAUTEE NACOOCHEE
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State | GA
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Zip | 30571-0333
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Country | US
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Telephone | 706-969-8658
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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 | 4937
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH4937
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License Number State | GA
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