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General NPI Number Information
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NPI Number | 1063685519
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Entity Type | Organization
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Legal Business Name | RONALD L. HARRIS, OD, PC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 6675 BUSINESS CENTER DR
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City | LITTLETON
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State | CO
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Zip | 80130-3603
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Country | US
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Telephone | 303-683-8165
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Fax |
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Provider Business Mailing Address
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Address Line | 6675 BUSINESS CENTER DR
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City | LITTLETON
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State | CO
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Zip | 80130-3603
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Country | US
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Telephone | 303-683-8165
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | RONALD L HARRIS
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Credential | OD
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Telephone | 303-683-8165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 900
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License Number State | CO
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