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General NPI Number Information
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NPI Number | 1801875331
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Entity Type | Individual
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Provider Name | NANCY LOUISE REEVES D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 04/03/2011
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Provider Practice Location Address
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Address Line | 7913 AZALEA GARDEN RD
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City | NORFOLK
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State | VA
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Zip | 23518-3201
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Country | US
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Telephone | 757-587-4433
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Fax | 757-587-1064
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Provider Business Mailing Address
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Address Line | 2285 SOUVERAIN LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-7403
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Country | US
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Telephone | 757-390-2895
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Fax | 314-271-7447
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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 | 0401412059
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License Number State | VA
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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 | 30.017717
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License Number State | OH
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