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General NPI Number Information
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NPI Number | 1982040945
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Entity Type | Individual
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Provider Name | JOY ESTELLE HALL RDH
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Gender | Female
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 200 GIRARD ST STE 206
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City | GAITHERSBURG
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State | MD
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Zip | 20877-3490
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Country | US
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Telephone | 240-499-2636
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Fax | 240-499-2602
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Provider Business Mailing Address
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Address Line | 8630 FENTON STREET SUITE 1204
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City | SLIVER SPRING
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State | MD
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Zip | 20910-3490
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Country | US
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Telephone | 336-847-2409
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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 | 6864
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | HYG1000701
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 8823
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 0402205485
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License Number State | VA
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