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General NPI Number Information
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NPI Number | 1205798352
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Entity Type | Individual
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Provider Name | DR. SPENCER AUSTIN HARRIS
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Gender | Male
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 13677 W MCDOWELL RD
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City | GOODYEAR
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State | AZ
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Zip | 85395-2635
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Country | US
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Telephone | 623-882-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 7951 W BEARDSLEY RD UNIT 1213
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City | PEORIA
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State | AZ
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Zip | 85382-2714
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Country | US
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Telephone | 901-831-5374
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S026607
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License Number State | AZ
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