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General NPI Number Information
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NPI Number | 1841999653
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Entity Type | Individual
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Provider Name | BARBARA JEAN NAYLOR RDH
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 11121 KINGSTON PIKE STE C
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City | KNOXVILLE
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State | TN
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Zip | 37934-2890
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Country | US
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Telephone | 865-986-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 905 HUNTINGTON FARMS RD
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City | MARYVILLE
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State | TN
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Zip | 37803-6707
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Country | US
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Telephone | 865-773-9692
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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 | 0000006310
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License Number State | TN
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