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General NPI Number Information
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NPI Number | 1780179556
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Entity Type | Individual
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Provider Name | JEANA MARIE HARMON DDS
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Gender | Female
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 12589 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77077-5807
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Country | US
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Telephone | 713-325-5183
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Fax |
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Provider Business Mailing Address
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Address Line | 11102 HEARTLEAF ASTER WAY
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City | CYPRESS
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State | TX
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Zip | 77433-4546
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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 | 38849
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6893
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6893
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 38849
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License Number State | TX
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