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General NPI Number Information
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NPI Number | 1295508067
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Entity Type | Organization
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Legal Business Name | PADDOCK DENTAL HARMONY
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 3300 SW 34TH AVE STE 136
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City | OCALA
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State | FL
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Zip | 34474-4438
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Country | US
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Telephone | 352-873-4844
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Fax | 352-873-8408
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Provider Business Mailing Address
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Address Line | 3300 SW 34TH AVE STE 136
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City | OCALA
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State | FL
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Zip | 34474-4438
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Country | US
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Telephone | 352-873-4844
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Fax | 352-873-8408
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Authorized Official
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Title or Position | INSURANCE CO-ORDINATOR
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Name | JESSICA MCCLELLAN
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Credential |
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Telephone | 352-873-4844
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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 |
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License Number State |
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