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General NPI Number Information
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NPI Number | 1225170319
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Entity Type | Individual
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Provider Name | HARRY DAVID NELAMS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 148 COUNTRY LN DR
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City | LUMBERTON
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State | TX
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Zip | 77657
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Country | US
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Telephone | 409-755-3933
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Fax | 409-755-4243
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Provider Business Mailing Address
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Address Line | 148 COUNTRY LANE DR
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City | LUMBERTON
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State | TX
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Zip | 77657-6802
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Country | US
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Telephone | 409-755-3933
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Fax | 409-755-4243
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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 | 17255
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License Number State | TX
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