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General NPI Number Information
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NPI Number | 1205999810
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Entity Type | Individual
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Provider Name | MAURY HARRIS MD
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 410 LAKEVILLE ROAD SUITE 209
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1122
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Country | US
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Telephone | 516-358-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 410 LAKEVILLE RD SUITE 209
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1101
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Country | US
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Telephone | 516-358-2121
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 136798
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License Number State | NY
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