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General NPI Number Information
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NPI Number | 1922683754
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Entity Type | Individual
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Provider Name | JOYCE ELLEN RICHARDS RDH, BSDH
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Gender | Female
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 2261 PYRAMID WAY STE 7
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City | SPARKS
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State | NV
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Zip | 89431-8798
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Country | US
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Telephone | 775-331-4456
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Fax |
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Provider Business Mailing Address
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Address Line | 900 1ST ST
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City | SPARKS
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State | NV
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Zip | 89431-4540
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Country | US
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Telephone | 530-305-7323
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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 | RDH11908
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License Number State | CA
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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 | 102359
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License Number State | NV
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