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General NPI Number Information
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NPI Number | 1932185519
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Entity Type | Individual
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Provider Name | REBECCA ANNE NEILL DDS
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1350 CHURN CREEK RD SUITE F1
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City | REDDING
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State | CA
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Zip | 96003-4087
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Country | US
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Telephone | 530-224-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 7657 PIT RD
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City | REDDING
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State | CA
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Zip | 96001-5395
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Country | US
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Telephone | 530-243-4617
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6407
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 55160
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License Number State | CA
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