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General NPI Number Information
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NPI Number | 1861315475
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Entity Type | Individual
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Provider Name | JOLENE YOUNG RDH
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 1200 W WARNER RD STE 9
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City | CHANDLER
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State | AZ
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Zip | 85224-2758
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Country | US
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Telephone | 480-963-5821
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 E TRIGGER WAY
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City | GILBERT
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State | AZ
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Zip | 85297-6033
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Country | US
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Telephone | 480-522-4004
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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 | DH6864
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License Number State | AZ
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