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NPI 1225761869

NPI 1225761869 : EMILY CODY INGALLS DMD : PULASKI, TN

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General NPI Number Information
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    NPI Number           |    1225761869
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY CODY INGALLS DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/01/2022
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    403 E COLLEGE ST 
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    City                 |    PULASKI
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    State                |    TN
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    Zip                  |    38478-4315
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    Country              |    US
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    Telephone            |    931-363-1388
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2001 WIMBLEDON CIR 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37069-1865
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    Country              |    US
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    Telephone            |    757-810-9138
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    Fax                  |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DN27145
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    12962
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    License Number State |    TN
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