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General NPI Number Information
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NPI Number | 1669550042
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Entity Type | Organization
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Legal Business Name | PULLEN, DMD, P.C.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 2353 WHITESBURG DRIVE
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-533-3735
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Fax | 256-533-3780
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Provider Business Mailing Address
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Address Line | 2353 WHITESBURG DRIVE
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-533-3735
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Fax | 256-533-3780
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LUCY WATSON
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Credential |
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Telephone | 256-533-3735
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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 | 4401
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License Number State |
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