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General NPI Number Information
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NPI Number | 1568708634
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Entity Type | Organization
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Legal Business Name | TULL AND BEHLING, LLC
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 1507 RITCHIE HWY SUITE 201
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City | ARNOLD
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State | MD
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Zip | 21012-2743
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Country | US
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Telephone | 410-757-5437
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Fax | 410-757-0699
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Provider Business Mailing Address
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Address Line | 1507 RITCHIE HWY SUITE 201
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City | ARNOLD
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State | MD
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Zip | 21012-2743
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Country | US
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Telephone | 410-757-5437
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Fax | 410-757-0699
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. CLINTON J. TULL
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Credential | D.D.S.
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Telephone | 410-757-5437
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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 | 8142
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License Number State | MD
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