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General NPI Number Information
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NPI Number | 1922690528
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Entity Type | Individual
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Provider Name | PAMELA J CARTER RDH, IPDH
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Gender | Female
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 60 MAIN RD N STE D
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City | HAMPDEN
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State | ME
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Zip | 04444-1344
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Country | US
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Telephone | 207-478-2125
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Fax |
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Provider Business Mailing Address
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Address Line | 195 LITTLEFIELD RD
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City | NEWBURGH
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State | ME
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Zip | 04444-5142
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Country | US
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Telephone | 207-478-2125
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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 | 2895
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License Number State | ME
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