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General NPI Number Information
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NPI Number | 1699329797
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Entity Type | Organization
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Legal Business Name | JEFFREY A. HARRISON, DMD, PC
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 258 WASHINGTON STREET
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City | WELLESLEY
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State | MA
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Zip | 02481
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Country | US
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Telephone | 781-237-7400
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Fax | 781-237-7416
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Provider Business Mailing Address
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Address Line | 258 WASHINGTON STREET
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City | WELLESLEY
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State | MA
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Zip | 02481
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Country | US
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Telephone | 781-237-7400
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Fax | 781-237-7416
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JEFFREY A HARRISON
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Credential | DMD
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Telephone | 781-237-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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