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General NPI Number Information
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NPI Number | 1104924109
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Entity Type | Individual
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Provider Name | DAVID PAUL HARRIES MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 709 4TH AVE NE PAIN MANAGEMENT CLINIC
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City | WATFORD CITY
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State | ND
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Zip | 58854-7628
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Country | US
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Telephone | 701-842-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 709 4TH AVE NE
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City | WATFORD CITY
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State | ND
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Zip | 58854-7628
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Country | US
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Telephone | 701-842-3000
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Fax |
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 37745
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 210437
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 21630
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 01081532A
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License Number State | IN
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