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General NPI Number Information
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NPI Number | 1023126950
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Entity Type | Organization
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Legal Business Name | ROGER M. HARRIS III DMD, PA
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 920 S. BATESVILLE ROAD
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City | GREER
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State | SC
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Zip | 29650-4524
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Country | US
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Telephone | 864-877-9111
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Fax | 864-877-9195
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Provider Business Mailing Address
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Address Line | 920 S. BATESVILLE ROAD
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City | GREER
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State | SC
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Zip | 29650-4524
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Country | US
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Telephone | 864-877-9111
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Fax | 864-877-9195
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ROGER MARVIN HARRIS III III
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Credential | DMD
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Telephone | 864-877-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3557
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License Number State | SC
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