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General NPI Number Information
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NPI Number | 1538978192
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Entity Type | Organization
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Legal Business Name | PEPPER DENTAL P.L.L.C.
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 8116 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-3860
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Country | US
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Telephone | 718-833-1847
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Fax |
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Provider Business Mailing Address
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Address Line | 24 FRANKLIN CT
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City | GARDEN CITY
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State | NY
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Zip | 11530-6109
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Country | US
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Telephone | 804-873-9559
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. SCOTT BALDWIN CULPEPPER
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Credential | DDS
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Telephone | 804-873-9559
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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 |
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License Number State |
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