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General NPI Number Information
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NPI Number | 1033259601
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Entity Type | Organization
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Legal Business Name | HARRISON MEDICAL CENTER
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 4205 WHEATON WAY SUITE A
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City | BREMERTON
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State | WA
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Zip | 98310-3626
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Country | US
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Telephone | 360-744-6750
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Fax | 360-744-6772
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Provider Business Mailing Address
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Address Line | 2520 CHERRY AVE
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City | BREMERTON
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State | WA
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Zip | 98310-4229
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Country | US
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Telephone | 360-744-3911
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID SCHULTZ
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Credential |
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Telephone | 360-744-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | WA
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