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General NPI Number Information
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NPI Number | 1386956472
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Entity Type | Individual
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Provider Name | GREGORY REECE D.M.D
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Gender | Male
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 3014 BAUCCOM ROAD SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28269
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Country | US
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Telephone | 704-596-6767
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Fax | 704-596-7790
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Provider Business Mailing Address
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Address Line | 3014 BAUCCOM ROAD SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28269
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Country | US
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Telephone | 704-596-6767
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Fax | 704-596-7790
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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 | 9071
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License Number State | NC
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