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NPI 1013358225

NPI 1013358225 : THOMAS D HARMON HIS : DODGE CITY, KS

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General NPI Number Information
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    NPI Number           |    1013358225
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS D HARMON HIS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/16/2013
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    Last Update Date     |    02/27/2025
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Provider Practice Location Address
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    Address Line         |    2010 CENTRAL 
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    City                 |    DODGE CITY
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    State                |    KS
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    Zip                  |    67801
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    Country              |    US
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    Telephone            |    620-225-0522
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    Fax                  |    620-271-0058
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Provider Business Mailing Address
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    Address Line         |    PO BOX 196 
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    City                 |    INGALLS
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    State                |    KS
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    Zip                  |    67853
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    Country              |    US
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    Telephone            |    620-225-0522
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    Fax                  |    620-271-0058
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    1488
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    License Number State |    KS
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