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NPI 1205941531

NPI 1205941531 : REBA COPLEY HARPER DDS : BEAUMONT, TX

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General NPI Number Information
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    NPI Number           |    1205941531
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    Entity Type          |    Individual 
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    Provider Name        |    REBA COPLEY HARPER DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2006
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    Last Update Date     |    07/27/2016
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Provider Practice Location Address
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    Address Line         |    7735 CALDER AVE 
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    City                 |    BEAUMONT
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    State                |    TX
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    Zip                  |    77706-5734
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    Country              |    US
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    Telephone            |    409-892-5539
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    Fax                  |    409-896-2690
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Provider Business Mailing Address
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    Address Line         |    7735 CALDER AVE. 
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    City                 |    BEAUMONT
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    State                |    TX
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    Zip                  |    77706
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    Country              |    US
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    Telephone            |    409-892-5539
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    Fax                  |    409-896-2690
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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       |    TX18122
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    License Number State |    TX
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