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General NPI Number Information
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NPI Number | 1407300197
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Entity Type | Individual
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Provider Name | KURT HARMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 5708 COLLEYVILLE BLVD
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6064
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Country | US
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Telephone | 817-541-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 701 E BLUFF ST APT 2106
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City | FORT WORTH
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State | TX
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Zip | 76102-2351
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Country | US
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Telephone | 469-251-9055
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 32149
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License Number State | TX
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