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General NPI Number Information
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NPI Number | 1821188202
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Entity Type | Organization
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Legal Business Name | DRS HARMON &THOMAS
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 329 IBERIA ST.
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City | YOUNGSVILLE
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State | LA
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Zip | 70592
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Country | US
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Telephone | 337-856-7268
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Fax | 337-856-7210
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Provider Business Mailing Address
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Address Line | PO BOX 598
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-0598
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Country | US
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Telephone | 337-856-7268
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Fax | 337-856-7210
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Authorized Official
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Title or Position | DENTIST
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Name | DR. E. KEVIN HARMON
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Credential | D.D.S.
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Telephone | 337-856-7268
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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 | 4075
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License Number State | LA
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