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General NPI Number Information
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NPI Number | 1992868921
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Entity Type | Organization
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Legal Business Name | HARMS-TRI DENTAL
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 213 1ST ST
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City | FARMINGTON
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State | MN
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Zip | 55024-1003
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Country | US
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Telephone | 651-463-7777
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Fax | 651-460-6123
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Provider Business Mailing Address
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Address Line | 213 1ST ST
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City | FARMINGTON
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State | MN
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Zip | 55024-1003
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Country | US
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Telephone | 651-463-7777
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Fax | 651-460-6123
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES ROGER HARMS
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Credential | DDS
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Telephone | 651-463-7777
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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 | 9839
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12385
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9838
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License Number State | MN
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