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General NPI Number Information
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NPI Number | 1295965457
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Entity Type | Individual
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Provider Name | NICHOLAS JOHN HARMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 901 4TH ST NW
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City | WATERTOWN
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State | SD
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Zip | 57201-1558
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Country | US
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Telephone | 605-886-8471
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Fax | 605-886-9317
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone | 605-328-9419
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301095264
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57567
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 14065
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License Number State | SD
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