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NPI 1205830130

NPI 1205830130 : LAUREN F HARMON DDS : JONESBORO, AR

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General NPI Number Information
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    NPI Number           |    1205830130
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN F HARMON DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/09/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2819 LONGVIEW DR 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401-5919
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    Country              |    US
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    Telephone            |    870-932-3151
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    Fax                  |    870-972-5060
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Provider Business Mailing Address
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    Address Line         |    2819 LONGVIEW DR 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401-5919
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    Country              |    US
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    Telephone            |    870-932-3151
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    Fax                  |    870-972-5060
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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       |    3391
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    License Number State |    AR
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