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General NPI Number Information
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NPI Number | 1659822062
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Entity Type | Organization
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Legal Business Name | GEORGE W. HARPER D.D.S., PC
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 918 PINEHURST RD SE STE-103
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City | RIO RANCHO
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State | NM
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Zip | 87124-2568
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Country | US
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Telephone | 505-896-3600
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Fax | 505-896-3690
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Provider Business Mailing Address
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Address Line | 918 PINEHURST RD. SE STE-103
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City | RIO RANCHO
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State | NM
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Zip | 87124
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Country | US
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Telephone | 505-896-3600
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Fax | 505-896-3690
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE W. HARPER
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Credential | D.D.S
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Telephone | 505-896-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DD3164
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License Number State | NM
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