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NPI 1699915272

NPI 1699915272 : APRIL C PULCRANO M.ED.,D.D.S.,P.A. : DELAND, FL

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General NPI Number Information
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    NPI Number           |    1699915272
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL C PULCRANO M.ED.,D.D.S.,P.A.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2009
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    Last Update Date     |    02/23/2009
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Provider Practice Location Address
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    Address Line         |    449 E NEW YORK AVE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32724-5511
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    Country              |    US
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    Telephone            |    386-738-1188
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    Fax                  |    386-738-9835
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Provider Business Mailing Address
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    Address Line         |    449 E NEW YORK AVE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32724-5511
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    Country              |    US
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    Telephone            |    386-738-1188
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    Fax                  |    386-738-9835
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    DN0013895
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    License Number State |    FL
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