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General NPI Number Information
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NPI Number | 1225041023
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Entity Type | Individual
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Provider Name | DIANE BARBARA HARRIS MD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11770 WARNER AVENUE SUITE 127
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2660
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Country | US
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Telephone | 714-967-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 11770 WARNER AVENUE SUITE 127
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2660
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Country | US
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Telephone | 714-967-0660
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G51414
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License Number State | CA
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