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General NPI Number Information
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NPI Number | 1639506157
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Entity Type | Organization
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Legal Business Name | PAUL J GASKINS DDS PA
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Dates
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Enumeration Date | 09/29/2013
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 7958 BRIAR CREEK RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-8525
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Country | US
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Telephone | 252-903-6250
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Fax | 252-977-9031
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Provider Business Mailing Address
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Address Line | 7958 BRIAR CREEK RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-8525
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Country | US
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Telephone | 252-903-6250
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Fax | 252-977-9031
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL J GASKINS
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Credential | DDS
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Telephone | 252-903-6250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7980
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License Number State | NC
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