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General NPI Number Information
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NPI Number | 1962109520
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Entity Type | Individual
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Provider Name | LINDA LOU HOUSTON RDH
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 2757 GREEN SPRINGS HWY
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4903
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Country | US
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Telephone | 205-379-7020
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 RIVERVIEW RD APT 836
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4758
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Country | US
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Telephone | 251-222-5178
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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 | H-006231
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License Number State | AL
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