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General NPI Number Information
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NPI Number | 1184652141
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Entity Type | Individual
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Provider Name | PRESTON E HARRISON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1301 DOCTORS DR
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City | TYLER
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State | TX
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Zip | 75701-2239
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Country | US
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Telephone | 903-597-3787
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Fax | 903-593-4052
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Provider Business Mailing Address
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Address Line | 1301 DOCTORS DR
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City | TYLER
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State | TX
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Zip | 75701-2239
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Country | US
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Telephone | 903-597-3787
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Fax | 903-593-4052
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D7080
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License Number State | TX
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