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General NPI Number Information
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NPI Number | 1861688426
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Entity Type | Individual
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Provider Name | ALLISON COVINGTON HARRIS D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 154 MCGREGOR RD
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City | DELAND
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State | FL
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Zip | 32720-8644
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Country | US
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Telephone | 386-736-9966
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Fax | 386-822-9959
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Provider Business Mailing Address
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Address Line | 154 MCGREGOR RD
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City | DELAND
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State | FL
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Zip | 32720-8644
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Country | US
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Telephone | 386-736-9966
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Fax | 386-822-9959
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN 18050
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License Number State | FL
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