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General NPI Number Information
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NPI Number | 1063615714
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Entity Type | Individual
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Provider Name | ABBY LEA HARRIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 1840 E MAIN ST
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City | PRATTVILLE
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State | AL
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Zip | 36066-5500
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Country | US
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Telephone | 334-595-8610
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Fax | 334-595-8611
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Provider Business Mailing Address
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Address Line | 1840 E MAIN ST
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City | PRATTVILLE
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State | AL
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Zip | 36066-5500
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Country | US
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Telephone | 334-595-8610
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Fax | 334-595-8611
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01066398A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.41362
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License Number State | AL
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