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General NPI Number Information
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NPI Number | 1548640816
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Entity Type | Organization
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Legal Business Name | SARINA HARMAN-TINNEL, DDS, LLC
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 11644 W 75TH ST 101
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City | SHAWNEE
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State | KS
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Zip | 66214-1372
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Country | US
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Telephone | 913-962-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 11644 W 75TH ST 101
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City | SHAWNEE
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State | KS
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Zip | 66214-1372
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Country | US
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Telephone | 913-962-0036
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARINA M HARMAN-TINNEL
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Credential | DDS
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Telephone | 913-962-0036
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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 | 60456
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License Number State | KS
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