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General NPI Number Information
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NPI Number | 1033696331
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Entity Type | Organization
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Legal Business Name | NICHOLAS R HARKER PLLC
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 915 E HAWTHORNE RD STE G
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City | SPOKANE
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State | WA
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Zip | 99218-1482
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Country | US
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Telephone | 509-302-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 7424 E COLUMBIA DR
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City | SPOKANE
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State | WA
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Zip | 99212-3303
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Country | US
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Telephone | 509-302-1321
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NICHOLAS HARKER
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Credential | DDS
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Telephone | 509-302-1321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DE60361349
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License Number State | WA
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