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General NPI Number Information
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NPI Number | 1831049212
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Entity Type | Individual
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Provider Name | PAMALA MARIE PROCTOR RDH, MHA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 365 HOLLYHOCK DR.
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City | MANCHESTER
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State | PA
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Zip | 17345
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Country | US
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Telephone | 202-446-4511
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Fax |
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Provider Business Mailing Address
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Address Line | 365 HOLLYHOCK DR.
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City | MANCHESTER
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State | PA
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Zip | 17345
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Country | US
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Telephone | 202-446-4511
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | DH075865
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License Number State | PA
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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 | DH075865
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License Number State | PA
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