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General NPI Number Information
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NPI Number | 1508973942
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Entity Type | Individual
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Provider Name | DARWIN DON HARRIS D.D.S
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40 W CACHE VALLEY BLVD BLDG 4 STE A
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City | LOGAN
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State | UT
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Zip | 84341-8452
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Country | US
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Telephone | 435-752-1434
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Fax | 435-752-1986
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Provider Business Mailing Address
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Address Line | 40 W CACHE VALLEY BLVD BLDG 4 STE A
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City | LOGAN
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State | UT
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Zip | 84341-8452
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Country | US
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Telephone | 435-752-1434
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Fax | 435-752-1986
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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 | 132525-9922
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License Number State | UT
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