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General NPI Number Information
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NPI Number | 1548165715
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Entity Type | Organization
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Legal Business Name | JUSTIN HARLOW DDS PA 4
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 9010 GLENWATER DR STE 108
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City | CHARLOTTE
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State | NC
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Zip | 28262-8593
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Country | US
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Telephone | 704-549-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 16546 BASTILLE DR
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City | CHARLOTTE
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State | NC
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Zip | 28278-8304
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Country | US
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Telephone | 704-549-1199
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD JUSTIN HARLOW
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Credential | DDS
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Telephone | 704-549-1199
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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 |
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License Number State | NULL
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