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General NPI Number Information
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NPI Number | 1962424283
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Entity Type | Individual
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Provider Name | MARK EARL HARTTER DDS
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3568 SW MARKET ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-2327
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Country | US
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Telephone | 816-537-6161
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Fax | 816-537-6165
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Provider Business Mailing Address
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Address Line | 30706 E STATE ROUTE VV
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City | PLEASANT HILL
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State | MO
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Zip | 64080-8305
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Country | US
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Telephone | 816-540-4070
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12290
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License Number State | MO
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