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General NPI Number Information
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NPI Number | 1578516613
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Entity Type | Individual
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Provider Name | JOHN HARRELL DDS
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 312 KENMORE RD
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City | PENSACOLA
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State | FL
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Zip | 32503-7462
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Country | US
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Telephone | 850-471-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1988 CROWN POINTE BLVD
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City | PENSACOLA
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State | FL
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Zip | 32506-8368
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Country | US
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Telephone | 850-457-7110
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Fax |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 008867
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License Number State | GA
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