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General NPI Number Information
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NPI Number | 1972445302
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Entity Type | Individual
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Provider Name | SHAE DARLENE QUKANG RITZ RDH
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 19418 LEITERSBURG PIKE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-1494
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Country | US
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Telephone | 301-797-8987
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Fax |
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Provider Business Mailing Address
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Address Line | 1970 LEHMAN RD
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City | WARFORDSBURG
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State | PA
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Zip | 17267-8448
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Country | US
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Telephone | 717-375-5909
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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 | 9216
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License Number State | MD
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