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General NPI Number Information
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NPI Number | 1982582250
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Entity Type | Individual
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Provider Name | BRITTANI PENNA RDH
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 11 MIDDLE ST APT 1
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City | AUGUSTA
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State | ME
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Zip | 04330-5229
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Country | US
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Telephone | 207-560-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 66 STONEY ACRES RD
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City | PITTSTON
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State | ME
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Zip | 04345-6607
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Country | US
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Telephone | 207-399-0362
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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 | RDH4086
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License Number State | ME
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