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General NPI Number Information
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NPI Number | 1073243853
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Entity Type | Individual
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Provider Name | NATALIE ALYSE HARRIS DMD, MBA
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 1204 OGLETREE VILLAGE LN
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City | AUBURN
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State | AL
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Zip | 36830-2960
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Country | US
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Telephone | 334-887-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 2038 LEE ROAD 137 LOT 138
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City | AUBURN
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State | AL
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Zip | 36832-7505
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Country | US
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Telephone | 256-338-8178
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D-0007072-C1
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License Number State | AL
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