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General NPI Number Information
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NPI Number | 1669856530
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Entity Type | Individual
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Provider Name | ANDREW HARRELL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 200 BEVERLY HANKS CTR STE B
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City | HENDERSONVILLE
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State | NC
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Zip | 28792
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Country | US
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Telephone | 828-693-7533
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BEVERLY HANKS CTR STE B
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-2324
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Country | US
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Telephone |
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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 | 6291
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 10198
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License Number State | NC
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