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General NPI Number Information
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NPI Number | 1487858460
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Entity Type | Organization
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Legal Business Name | BOB HARRIS DDS PA
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 1 VANDERBILT PARK DRIVE SUITE 220
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City | ASHEVILLE
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State | NC
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Zip | 28803-1736
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Country | US
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Telephone | 828-277-2214
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Fax | 828-277-2216
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Provider Business Mailing Address
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Address Line | 1 VANDERBILT PARK DRIVE SUITE 220
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City | ASHEVILLE
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State | NC
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Zip | 28803-1736
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Country | US
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Telephone | 828-277-2214
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Fax | 828-277-2216
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DANA ALLEN HUNTER
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Credential |
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Telephone | 828-277-2214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 5148
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 5148
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5148
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License Number State | NC
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