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General NPI Number Information
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NPI Number | 1063536852
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Entity Type | Organization
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Legal Business Name | HARRIS MEDICAL SUPPLY GROUP, LLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 720 AVIGNON DR SUITE 3
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City | RIDGELAND
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State | MS
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Zip | 39157-5166
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Country | US
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Telephone | 601-427-2469
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Fax | 866-860-3857
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Provider Business Mailing Address
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Address Line | PO BOX 806
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City | RIDGELAND
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State | MS
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Zip | 39158-0806
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Country | US
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Telephone | 601-427-2469
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Fax | 866-860-3857
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Authorized Official
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Title or Position | CEO
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Name | MR. TERRIS CATON HARRIS
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Credential | J.D., LL.M.
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Telephone | 601-427-2469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State |
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