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General NPI Number Information
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NPI Number | 1013074020
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Entity Type | Individual
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Provider Name | VALERIE C POLLOCK DDS, PA
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 302 S BENNETT ST
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City | BURGAW
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State | NC
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Zip | 28425
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Country | US
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Telephone | 910-259-2053
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Fax | 910-259-2057
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Provider Business Mailing Address
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Address Line | PO BOX 874
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City | BURGAW
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State | NC
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Zip | 28425-0874
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Country | US
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Telephone | 910-259-2053
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Fax | 910-259-2057
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7419
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 7419
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 7419
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7419
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License Number State | NC
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