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General NPI Number Information
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NPI Number | 1942307129
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Entity Type | Individual
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Provider Name | DONNA JEANNE SHEA RDH
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 71 STATE ROUTE 101A
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City | AMHERST
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State | NH
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Zip | 03031-2274
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Country | US
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Telephone | 603-672-6522
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CARTER CIR
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City | NASHUA
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State | NH
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Zip | 03062-2068
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Country | US
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Telephone | 603-891-1671
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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 | 1819
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License Number State | NH
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