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General NPI Number Information
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NPI Number | 1720452634
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Entity Type | Organization
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Legal Business Name | BELLBROOK FAMILY DENTISTRY-JOHN P HARMEYER, DDS LLC
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 4291 SUGARCREEK DR
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City | BELLBROOK
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State | OH
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Zip | 45305-1330
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Country | US
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Telephone | 937-848-7741
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Fax | 937-848-9394
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Provider Business Mailing Address
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Address Line | 4291 SUGARCREEK DR
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City | BELLBROOK
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State | OH
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Zip | 45305-1330
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Country | US
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Telephone | 937-848-7741
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Fax | 937-848-9394
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN PATRICK HARMEYER
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Credential | DDS
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Telephone | 937-848-7741
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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 | 19904
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License Number State | OH
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