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General NPI Number Information
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NPI Number | 1417487737
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Entity Type | Individual
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Provider Name | SCOTT THOMAS HARRIS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 224 11TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37203-4021
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Country | US
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Telephone | 615-334-0184
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 DEMONBREUN ST APT 1522
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City | NASHVILLE
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State | TN
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Zip | 37203-4593
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Country | US
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Telephone | 501-743-5841
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10542
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License Number State | TN
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