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General NPI Number Information
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NPI Number | 1134254980
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Entity Type | Organization
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Legal Business Name | DEBORAH G. HARRIS, D.O., INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 103 SWANEY CT
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City | MARIETTA
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State | OH
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Zip | 45750-8002
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Country | US
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Telephone | 740-373-3731
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Fax | 740-373-3731
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Provider Business Mailing Address
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Address Line | 103 SWANEY CT
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City | MARIETTA
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State | OH
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Zip | 45750-8002
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Country | US
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Telephone | 740-373-3731
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Fax | 740-373-3731
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Authorized Official
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Title or Position | GENERAL SURGEON
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Name | DEBORAH GAIL HARRIS
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Credential | D.O.
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Telephone | 740-373-3731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 34007687H
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License Number State | OH
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