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General NPI Number Information
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NPI Number | 1679249056
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Entity Type | Organization
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Legal Business Name | REBECCA E REEVES DMD, PA
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 8300 FALLS OF NEUSE RD STE 114
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City | RALEIGH
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State | NC
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Zip | 27615-3450
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Country | US
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Telephone | 919-500-3909
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 LENA BUNN CT
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City | ROLESVILLE
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State | NC
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Zip | 27571-9526
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Country | US
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Telephone | 919-500-3909
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBECCA ELLIOTT REEVES
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Credential | DMD
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Telephone | 919-500-3909
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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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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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