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General NPI Number Information
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NPI Number | 1962146878
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Entity Type | Organization
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Legal Business Name | OCALA DENTAL HARMONY
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 7621 SW HIGHWAY 200 UNIT 103
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City | OCALA
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State | FL
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Zip | 34476-7201
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Country | US
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Telephone | 352-401-0707
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Fax | 352-237-8933
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Provider Business Mailing Address
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Address Line | 7621 SW HIGHWAY 200 UNIT 103
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City | OCALA
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State | FL
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Zip | 34476-7201
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Country | US
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Telephone | 352-401-0707
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Fax | 352-237-8933
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Authorized Official
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Title or Position | MANAGER
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Name | JESSICA MCCORD
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Credential |
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Telephone | 352-401-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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