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General NPI Number Information
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NPI Number | 1982419933
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Entity Type | Individual
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Provider Name | CAITLIN HERINIRINA RDH
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 4650 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 323-361-2130
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Fax |
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Provider Business Mailing Address
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Address Line | 1727 HOLLY DR APT 307
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City | GLENDALE
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State | CA
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Zip | 91206-4103
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Country | US
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Telephone | 530-401-1290
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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 | 30585
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License Number State | CA
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