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General NPI Number Information
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NPI Number | 1013299221
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Entity Type | Individual
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Provider Name | WILLIAM CHRISTOPHER HARDING IV D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 100 DEBO DR
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-4920
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Country | US
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Telephone | 843-236-8848
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Fax | 843-236-8857
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Provider Business Mailing Address
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Address Line | 100 DEBO DR
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-4920
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Country | US
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Telephone | 843-236-8848
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Fax | 843-236-8857
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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 | DN1855855
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License Number State | MA
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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 | 8523
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License Number State | SC
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