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General NPI Number Information
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NPI Number | 1649840273
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Entity Type | Individual
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Provider Name | SHERILYN HARPER DMD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2021
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Last Update Date | 06/27/2021
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Provider Practice Location Address
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Address Line | 1450 ANTHONY RD
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City | AUGUSTA
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State | GA
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Zip | 30904-4794
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Country | US
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Telephone | 706-738-4724
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 ANNA WAY
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City | GROVETOWN
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State | GA
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Zip | 30813-3181
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Country | US
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Telephone | 706-829-7443
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN122336
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License Number State | GA
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