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General NPI Number Information
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NPI Number | 1023089760
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Entity Type | Individual
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Provider Name | JOSEPH KIM HARRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 165 WADSWORTH DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-4500
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Country | US
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Telephone | 804-272-9146
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Fax | 804-272-5929
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Provider Business Mailing Address
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Address Line | 7301 FOREST AVE SUITE 302
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City | RICHMOND
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State | VA
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Zip | 23226-3792
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Country | US
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Telephone | 804-288-2767
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Fax | 804-288-9897
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101034962
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License Number State | VA
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