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General NPI Number Information
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NPI Number | 1922132711
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Entity Type | Organization
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Legal Business Name | HARRINGTON ENDODONTICS
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4815 WEST ARROWHEAD RD SUITE #110
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City | HERMANTOWN
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State | MN
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Zip | 55811
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Country | US
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Telephone | 218-722-0772
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Fax |
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Provider Business Mailing Address
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Address Line | 4815 WEST ARROWHEAD RD SUITE #110
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City | HERMANTOWN
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State | MN
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Zip | 55811
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Country | US
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Telephone | 218-722-0772
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Fax |
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Authorized Official
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Title or Position | ENDODONTIST
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Name | DR. PAMELA P HARRINGTON
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Credential | DDS MS
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Telephone | 218-722-0772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D10679
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D10620
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License Number State | MN
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