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General NPI Number Information
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NPI Number | 1467709675
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Entity Type | Individual
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Provider Name | REBECCA ELLIOTT REEVES DMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 8300 FALLS OF NEUSE RD STE 114
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City | RALEIGH
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State | NC
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Zip | 27615-3450
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Country | US
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Telephone | 919-676-4242
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Fax | 919-676-4246
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Provider Business Mailing Address
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Address Line | 5700 LENA BUNN CT
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City | ROLESVILLE
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State | NC
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Zip | 27571-9526
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Country | US
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Telephone | 919-500-3909
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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 | DEN4258
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License Number State | ME
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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 | 10921
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License Number State | NC
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