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NPI Code Detail

MEDICARE: MS. ROSEMARY LABONGE LENOIR RDH

MEDICARE:  MS. ROSEMARY LABONGE LENOIR  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist1597SC

General Provider Information

NPI Number : 1164503629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROSEMARY LABONGE LENOIR RDH
Provider Business Mailing Address
First Line : 1573 BRIANNA LANE
Second Line :
City : CHARLESTON
State : SC
Zip : 29412
Country : US
Telephone Number : 843-795-8942
Fax Number :
Provider Business Practice Location Address
First Line : 113 WAPPOO CREEK DR
Second Line : SUITE 5
City : CHARLESTON
State : SC
Zip : 29412-2136
Country : US
Telephone Number : 843-762-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 10/02/2007

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Directions to “ MS. ROSEMARY LABONGE LENOIR RDH” Practice Location

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