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General NPI Number Information
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NPI Number | 1063530715
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Entity Type | Individual
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Provider Name | SANDRA HARMON D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 105 E LAUREL RD
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City | STRATFORD
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State | NJ
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Zip | 08084-1324
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Country | US
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Telephone | 856-783-6100
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Fax | 856-309-0956
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Provider Business Mailing Address
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Address Line | 38 WHITFORD DR
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City | BURLINGTON
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State | NJ
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Zip | 08016-4342
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Country | US
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Telephone | 973-405-3670
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Fax | 609-479-3915
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21341
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License Number State | NJ
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