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General NPI Number Information
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NPI Number | 1922884709
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Entity Type | Organization
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Legal Business Name | HARVEY LANE HARRIS JR DDS PLLC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1317 CENTRAL DR
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City | SANFORD
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State | NC
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Zip | 27330-4159
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Country | US
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Telephone | 919-775-2522
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PRESTONFIELD DR
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City | PINEHURST
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State | NC
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Zip | 28374-8759
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Country | US
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Telephone | 919-360-0248
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HARVEY LANE HARRIS JR.
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Credential | DDS
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Telephone | 919-360-0248
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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 |
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License Number State |
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