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General NPI Number Information
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NPI Number | 1922819325
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Entity Type | Individual
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Provider Name | CANDACE BERLIER RDHAP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 242 ROBERTSON BLVD
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City | CHOWCHILLA
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State | CA
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Zip | 93610-2932
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Country | US
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Telephone | 209-658-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 1562 W DICKENSON FERRY RD
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City | MERCED
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State | CA
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Zip | 95341-8756
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Country | US
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Telephone | 209-658-7790
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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 | 1128
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License Number State | CA
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