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General NPI Number Information
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NPI Number | 1942546072
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Entity Type | Individual
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Provider Name | INGA KEITHLY O'SHEA DMD
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Gender | Female
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 937 FRANKLIN BLVD
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City | LEMOORE
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State | CA
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Zip | 93246-4700
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Country | US
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Telephone | 559-998-4215
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Fax | 559-998-4262
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Provider Business Mailing Address
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Address Line | NMRTC LEMOORE 937 FRANKLIN AVENUE
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City | APO
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State | AA
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Zip | 93245
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8447979-9921
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8447979-9921
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License Number State | UT
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