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General NPI Number Information
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NPI Number | 1972382570
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Entity Type | Organization
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Legal Business Name | HARRIS DENTAL DENNIS (HDD), L.L.C.
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 811 MAIN ST
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City | DENNIS
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State | MA
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Zip | 02638-1908
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Country | US
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Telephone | 508-385-3136
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | BARNSTABLE
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State | MA
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Zip | 02630-0487
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | HILLARY RUGGIERO
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Credential |
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Telephone | 508-362-4885
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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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