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General NPI Number Information
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NPI Number | 1033173729
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Entity Type | Organization
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Legal Business Name | DAVID M HARRIS MD
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3 WESTWOOD MEDICAL PARK BLVD
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City | BLUEFIELD
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State | VA
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Zip | 24605
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Country | US
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Telephone | 304-327-2976
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Fax | 304-327-2989
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Provider Business Mailing Address
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Address Line | PO BOX 933
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City | BLUEFIELD
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State | WV
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Zip | 24701-0933
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Country | US
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Telephone | 304-327-2976
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Fax | 304-327-2989
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Authorized Official
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Title or Position | PHYSICIAN PRACTICE SUPERVISOR
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Name | MRS. NETTIE R SAYERS
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Credential |
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Telephone | 304-327-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 13456
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License Number State | WV
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