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General NPI Number Information
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NPI Number | 1952520702
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Entity Type | Individual
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Provider Name | JASON K POLLEI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 BRAUER HALL CAMPUS BOX 7450
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City | CHAPEL HILL
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State | NC
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Zip | 27599-7450
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Country | US
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Telephone | 919-966-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 BAITY HILL DR APT 126
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City | CHAPEL HILL
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State | NC
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Zip | 27514-3964
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Country | US
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Telephone | 919-914-8249
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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 | 8180
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License Number State | NC
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