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General NPI Number Information
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NPI Number | 1699842971
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Entity Type | Organization
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Legal Business Name | DAVID E HARMON JR DDS MSD PA
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10264 LAKE ARBOR WAY
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City | MITCHELLVILLE
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State | MD
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Zip | 20721
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Country | US
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Telephone | 301-333-3900
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Fax | 301-333-3239
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Provider Business Mailing Address
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Address Line | 10264 LAKE ARBOR WAY
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City | MITCHELLVILLE
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State | MD
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Zip | 20721
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Country | US
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Telephone | 301-333-3900
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Fax | 301-333-3239
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Authorized Official
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Title or Position | ORTHODONTIST OWNER
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Name | DR. DAVID ERVIN HARMON JR.
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Credential | DDS MSD
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Telephone | 301-333-3900
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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 | 11886
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License Number State | MD
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