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General NPI Number Information
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NPI Number | 1447331426
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Entity Type | Organization
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Legal Business Name | MARY CATHERINE HARRISON DDS PLLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 2480 BROWNCRAFT BOULEVARD
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City | ROCHESTER
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State | NY
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Zip | 14625
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Country | US
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Telephone | 585-381-2600
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Fax | 585-381-2760
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Provider Business Mailing Address
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Address Line | 2480 BROWNCRAFT BOULEVARD
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City | ROCHESTER
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State | NY
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Zip | 14625
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Country | US
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Telephone | 585-381-2600
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Fax | 585-381-2760
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | MARY CATHERINE HARRISON
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Credential | DDS
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Telephone | 585-381-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 040236
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License Number State | NY
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