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General NPI Number Information
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NPI Number | 1174988927
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Entity Type | Organization
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Legal Business Name | STEPHANIE K. HARDING, D.D.S., P.L.L.C
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 3100 BUSINESS PARK CIR STE 100
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-2366
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Country | US
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Telephone | 615-851-7102
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Fax | 615-851-2156
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Provider Business Mailing Address
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Address Line | 3100 BUSINESS PARK CIR STE 100
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-2366
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Country | US
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Telephone | 615-851-7102
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Fax | 615-851-2156
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE KAYE HARDING
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Credential | DDS
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Telephone | 615-347-4640
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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 | 8888
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License Number State | TN
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