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General NPI Number Information
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NPI Number | 1407550932
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Entity Type | Organization
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Legal Business Name | HARPETH ENDODONTICS PLLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 5505 EDMONDSON PIKE STE 103
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City | NASHVILLE
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State | TN
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Zip | 37211-5869
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Country | US
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Telephone | 615-823-4091
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Fax |
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Provider Business Mailing Address
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Address Line | 604 ELK SPRINGS CT
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City | FRANKLIN
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State | TN
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Zip | 37069-8220
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | POPPY BLASEIO
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Credential | DDS
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Telephone | 510-520-2713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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