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General NPI Number Information
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NPI Number | 1255652392
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Entity Type | Organization
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Legal Business Name | JHE MEDICAL, P.C.
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 98 PARK AVE
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City | BABYLON
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State | NY
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Zip | 11702-1709
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Country | US
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Telephone | 631-587-7212
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Fax |
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Provider Business Mailing Address
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Address Line | 98 PARK AVE
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City | BABYLON
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State | NY
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Zip | 11702-1709
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Country | US
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Telephone | 631-587-7212
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JEFFREY D HARRIS
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Credential | MD
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Telephone | 631-587-7212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1206182
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License Number State | NY
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