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General NPI Number Information
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NPI Number | 1235813262
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Entity Type | Individual
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Provider Name | HOWARD DALSTON HARRISON JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 11845 NASHVILLE BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1919
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Country | US
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Telephone | 347-357-8048
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4075
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City | GARDEN CITY
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State | NY
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Zip | 11531-4075
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Country | US
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Telephone | 347-357-8048
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 00
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License Number State | NY
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