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General NPI Number Information
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NPI Number | 1073973384
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Entity Type | Organization
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Legal Business Name | AARON REEVES, REEVES DENTAL CORPORATION
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 2277 FAIR OAKS BLVD STE 330
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City | SACRAMENTO
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State | CA
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Zip | 95825-5596
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Country | US
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Telephone | 916-821-1416
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19669
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City | SACRAMENTO
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State | CA
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Zip | 95819-0669
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Country | US
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Telephone | 916-821-1416
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Fax |
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Authorized Official
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Title or Position | ASSISTANT
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Name | CANDACE SCHURKAMP
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Credential |
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Telephone | 916-320-7587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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