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General NPI Number Information
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NPI Number | 1992881254
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Entity Type | Organization
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Legal Business Name | VALERIE C. POLLOCK, D.D.S., P.A.
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 302 S BENNETT ST
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City | BURGAW
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State | NC
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Zip | 28425-0874
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Country | US
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Telephone | 910-259-2053
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Fax | 910-259-2057
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Provider Business Mailing Address
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Address Line | PO BOX 874
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City | BURGAW
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State | NC
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Zip | 28425-0874
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Country | US
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Telephone | 910-259-2053
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Fax | 910-259-2057
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Authorized Official
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Title or Position | DENTIST
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Name | DR. VALERIE C POLLOCK
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Credential | D.D.S.
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Telephone | 910-259-2053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 7419
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License Number State | NC
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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 | 7419
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License Number State | NC
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