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General NPI Number Information
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NPI Number | 1093051534
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Entity Type | Organization
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Legal Business Name | ZACHARY J. HARRISON DDS, PA
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 1025 HARRISWAY DR
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City | WILLIAMSTON
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State | NC
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Zip | 27892-8683
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Country | US
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Telephone | 252-792-7011
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Fax | 252-809-4815
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Provider Business Mailing Address
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Address Line | PO BOX 1125
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City | WILLIAMSTON
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State | NC
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Zip | 27892-1125
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Country | US
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Telephone | 252-792-7011
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Fax | 252-809-4815
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZACHARY JOEL HARRISON
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Credential | DDS
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Telephone | 252-792-7011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8765
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License Number State | NC
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