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General NPI Number Information
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NPI Number | 1114206968
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Entity Type | Individual
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Provider Name | DAVID HARRISON DPM
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Gender | Male
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 7714 CONNER RD STE 103
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City | POWELL
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State | TN
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Zip | 37849-3559
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Country | US
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Telephone | 865-938-8121
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Fax | 865-212-5561
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Provider Business Mailing Address
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Address Line | PO BOX 52948
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City | KNOXVILLE
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State | TN
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Zip | 37950-2948
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Country | US
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Telephone | 865-306-5700
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Fax | 865-584-7760
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM757
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License Number State | TN
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