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General NPI Number Information
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NPI Number | 1174668040
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Entity Type | Organization
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Legal Business Name | HARRIS CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1597 AVE D #4
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City | BILLINGS
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State | MT
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Zip | 59102
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Country | US
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Telephone | 406-652-8442
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Fax |
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Provider Business Mailing Address
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Address Line | 1597 AVE D #4
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City | BILLINGS
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State | MT
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Zip | 59102
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Country | US
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Telephone | 406-652-8442
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Fax |
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. BRADLEY A HARRIS
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Credential | DC
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Telephone | 406-652-8442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 696
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License Number State | MT
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