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General NPI Number Information
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NPI Number | 1306246905
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Entity Type | Organization
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Legal Business Name | ROSS J. PULVER, DDS, MS, PLLC
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 909 DAIRY ASHFORD RD #107
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City | HOUSTON
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State | TX
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Zip | 77079-5309
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Country | US
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Telephone | 281-493-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 909 DAIRY ASHFORD RD #107
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City | HOUSTON
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State | TX
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Zip | 77079-5309
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Country | US
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Telephone | 281-493-2370
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSS JEFFREY PULVER
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Credential | D.D.S., M.S.
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Telephone | 281-493-2370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 29695
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License Number State | TX
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