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General NPI Number Information
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NPI Number | 1134126378
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Entity Type | Individual
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Provider Name | ROBERT M HARRIS MD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 410 N STATE OF FRANKLIN RD STE 140
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6972
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Country | US
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Telephone | 423-431-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-302-6565
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 51947
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | MD.33949
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 41395
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | ME 123554
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | MD33835
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License Number State | SC
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