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General NPI Number Information
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NPI Number | 1851562037
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Entity Type | Organization
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Legal Business Name | DR. TIMOTHY M. RECTOR DDS PA
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | #3 STATE STREET
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City | WEST JEFFERSON
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State | NC
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Zip | 28694-1833
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Country | US
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Telephone | 336-246-4151
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Fax | 336-846-2463
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Provider Business Mailing Address
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Address Line | PO BOX 1833
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City | WEST JEFFERSON
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State | NC
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Zip | 28694-1833
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Country | US
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Telephone | 336-246-4151
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Fax | 336-846-2463
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Authorized Official
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Title or Position | PA
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Name | DR. TIMOTHY M RECTOR
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Credential | DDS
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Telephone | 336-246-4151
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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 | 5947
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License Number State | NC
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