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General NPI Number Information
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NPI Number | 1649377870
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Entity Type | Organization
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Legal Business Name | KYLE W. HARRIS DDS. PLLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 711 QUANDT
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-756-6181
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Fax | 479-750-1924
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Provider Business Mailing Address
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Address Line | 711 QUANDT
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-756-6181
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Fax | 479-750-1924
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KYLE W. HARRIS
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Credential |
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Telephone | 479-756-6181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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