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General NPI Number Information
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NPI Number | 1952733065
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Entity Type | Individual
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Provider Name | DEBORAH NOELLE KALINOSKI RDH
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 12325 SW HORIZON BLVD STE 229
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City | BEAVERTON
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State | OR
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Zip | 97007-9475
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Country | US
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Telephone | 971-205-5822
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Fax | 503-590-0300
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Provider Business Mailing Address
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Address Line | 12325 SW HORIZON BLVD STE 229
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City | BEAVERTON
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State | OR
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Zip | 97007-9475
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Country | US
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Telephone | 971-205-5822
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Fax | 503-590-0300
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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 | H6130
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License Number State | OR
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