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General NPI Number Information
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NPI Number | 1174600100
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Entity Type | Individual
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Provider Name | LEROY F HARRIS MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 101A BOB WALLACE AVE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3843
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Country | US
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Telephone | 256-533-4640
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Fax | 256-433-4647
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Provider Business Mailing Address
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Address Line | 1112 WESTMORELAND AVENUE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-2754
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Country | US
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Telephone | 256-533-4640
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Fax | 256-533-4647
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8559
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 8559
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License Number State | AL
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