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General NPI Number Information
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NPI Number | 1821881020
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Entity Type | Individual
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Provider Name | JACINDA RENEE ELDRIDGE RDH
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1305 BEAR MOUNTAIN BLVD
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City | ARVIN
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State | CA
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Zip | 93203-1231
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Country | US
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Telephone | 661-854-3131
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Fax | 661-854-2689
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Provider Business Mailing Address
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Address Line | 8200 N LAURELGLEN BLVD APT 815
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City | BAKERSFIELD
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State | CA
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Zip | 93311-2357
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Country | US
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Telephone | 661-741-3251
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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 | 36568
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License Number State | CA
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