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General NPI Number Information
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NPI Number | 1134992910
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Entity Type | Individual
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Provider Name | HARRIS EUGENE HARRIS MA/BA/LCDC
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Gender | Male
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 5144 E SAM HOUSTON PKWY N SUITE 116
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City | HOUSTON
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State | TX
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Zip | 77015
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Country | US
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Telephone | 800-832-3602
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Fax |
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Provider Business Mailing Address
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Address Line | 709 N MAGNOLIA STREET
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City | HIGHLANDS
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State | TX
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Zip | 77562
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Country | US
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Telephone | 832-817-3571
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13002
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License Number State | TX
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