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General NPI Number Information
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NPI Number | 1033105523
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Entity Type | Organization
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Legal Business Name | HARRIS & KING HEALTH SERVICES INC
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2486 N PONDEROSA DR SUITE D106
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City | CAMARILLO
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State | CA
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Zip | 93010-2376
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Country | US
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Telephone | 805-484-5447
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Fax | 805-484-2158
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Provider Business Mailing Address
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Address Line | 2486 N PONDEROSA DR SUITE D106
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City | CAMARILLO
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State | CA
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Zip | 93010-2376
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Country | US
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Telephone | 805-484-5447
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Fax | 805-484-2158
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Authorized Official
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Title or Position | CEO
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Name | MR. FREDERICK DOUGLAS KING II
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Credential | PHD PT
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Telephone | 805-484-5447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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