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General NPI Number Information
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NPI Number | 1225600869
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Entity Type | Organization
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Legal Business Name | RACHEL B PULLIN, DDS, PC
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 4035 RIVERSIDE DR
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City | DANVILLE
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State | VA
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Zip | 24541-5152
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Country | US
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Telephone | 434-793-2045
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Fax | 434-793-8820
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Provider Business Mailing Address
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Address Line | 160 RIDGEWAY DR
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City | DANVILLE
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State | VA
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Zip | 24541-6785
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Country | US
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Telephone | 434-548-8419
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Fax | 434-793-8820
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Authorized Official
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Title or Position | OWNER, GENERAL DENTIST
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Name | DR. RACHEL BRINKLEY PULLIN
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Credential | DDS
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Telephone | 434-548-8419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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