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General NPI Number Information
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NPI Number | 1255545802
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Entity Type | Organization
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Legal Business Name | PHILLIP E HARRISON DDS PS
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 214 2ND ST
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City | WENATCHEE
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State | WA
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Zip | 98801-2197
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Country | US
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Telephone | 509-663-4709
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Fax | 509-667-0601
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Provider Business Mailing Address
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Address Line | 214 2ND ST
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City | WENATCHEE
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State | WA
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Zip | 98801-2197
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Country | US
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Telephone | 509-663-4709
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Fax | 509-667-0601
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILLIP E HARRISON
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Credential | DDS
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Telephone | 509-663-4709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DE00006210
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License Number State | WA
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