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NPI 1982720819

NPI 1982720819 : JENNIFER ASHLEY DUNCAN RDH : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1982720819
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER ASHLEY DUNCAN RDH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/22/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    8608 PRESTON RD STE 112 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75024-3317
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    Country              |    US
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    Telephone            |    214-619-6326
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    Fax                  |    214-618-9843
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Provider Business Mailing Address
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    Address Line         |    905 S BURDETTE AVE 
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    City                 |    SHERMAN
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    State                |    TX
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    Zip                  |    75090-8366
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    Country              |    US
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    Telephone            |    903-780-2119
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    Fax                  |    214-618-9843
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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       |    13434
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    License Number State |    TX
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