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General NPI Number Information
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NPI Number | 1730482167
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Entity Type | Individual
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Provider Name | MICAH DAVID PULLINS D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 5880 S HOSPITAL DR
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City | GLOBE
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State | AZ
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Zip | 85501-9447
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Country | US
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Telephone | 928-425-3246
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Fax | 928-425-3859
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Provider Business Mailing Address
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Address Line | 5880 S HOSPITAL DR
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City | GLOBE
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State | AZ
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Zip | 85501-9447
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Country | US
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Telephone | 928-402-1131
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Fax | 928-425-7903
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5101017901
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO2109
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 9494A
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 011855
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License Number State | AZ
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