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General NPI Number Information
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NPI Number | 1497681761
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Entity Type | Individual
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Provider Name | EMMA GRACE MULLINS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 215 OAK ST
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City | LIVINGSTON
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State | TN
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Zip | 38570-1726
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Country | US
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Telephone | 931-823-5517
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Fax |
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Provider Business Mailing Address
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Address Line | 3480 PLANTATION DR
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City | COOKEVILLE
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State | TN
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Zip | 38506-6123
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Country | US
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Telephone | 731-571-1071
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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 | 13165
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License Number State | TN
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