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General NPI Number Information
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NPI Number | 1811604846
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Entity Type | Organization
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Legal Business Name | SEVEN PINES DENTAL GROUP MECHANICSVILLE, PLLC
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 7575 COLD HARBOR RD STE 1C
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-1600
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Country | US
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Telephone | 804-730-1484
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 COLD HARBOR RD STE 1C
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-1600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE AND HR
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Name | APRIL W EPLING
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Credential |
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Telephone | 804-310-2951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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