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General NPI Number Information
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NPI Number | 1326283284
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Entity Type | Organization
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Legal Business Name | HARMONY DENTAL CENTER, LLC
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Dates
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Enumeration Date | 12/07/2008
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Last Update Date | 12/07/2008
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Provider Practice Location Address
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Address Line | 19 CHENELL DR SUITE 2
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City | CONCORD
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State | NH
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Zip | 03301-8539
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Country | US
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Telephone | 603-223-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 19 CHENELL DR SUITE 2
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City | CONCORD
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State | NH
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Zip | 03301-8539
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Country | US
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Telephone | 603-223-3344
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. CONRAD K. LEE
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Credential | DMD
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Telephone | 603-223-3344
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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 | 2591
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License Number State | NH
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