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General NPI Number Information
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NPI Number | 1801181672
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Entity Type | Individual
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Provider Name | MISEE HARRIS KEMP D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 2007 E NETTLETON AVE STE C
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City | JONESBORO
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State | AR
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Zip | 72401-5286
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Country | US
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Telephone | 870-897-2439
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Fax | 870-912-1914
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Provider Business Mailing Address
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Address Line | 2007 E NETTLETON AVE STE C
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City | JONESBORO
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State | AR
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Zip | 72401-5286
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Country | US
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Telephone | 931-797-1821
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 9664
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 9201
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4134
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License Number State | AR
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