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General NPI Number Information
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NPI Number | 1063621845
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Entity Type | Organization
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Legal Business Name | HARBOUR VIEW DENTAL CENTER, PLC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5837 HARBOUR VIEW BLVD
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-686-3636
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Fax | 757-686-3737
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Provider Business Mailing Address
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Address Line | 5837 HARBOUR VIEW BLVD
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-686-3636
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Fax | 757-686-3737
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. RALPH L HOWELL JR.
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Credential | DDS
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Telephone | 757-686-3636
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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 | 0401007266
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License Number State | VA
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