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General NPI Number Information
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NPI Number | 1972061257
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Entity Type | Individual
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Provider Name | THOMAS CULLEN HARPER II DMD, MBA
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Gender | Male
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3672 WOODLAND DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-7701
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Country | US
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Telephone | 843-209-9981
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 ALCOA HWY STE 335
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City | KNOXVILLE
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State | TN
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Zip | 37920-1585
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Country | US
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Telephone | 843-209-9981
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 11275
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License Number State | TN
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