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General NPI Number Information
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NPI Number | 1265604524
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Entity Type | Individual
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Provider Name | DAVID MICHAEL HARRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 231 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45267-2827
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Country | US
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Telephone | 513-588-4548
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Fax |
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Provider Business Mailing Address
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Address Line | 231 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45267-2827
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Country | US
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Telephone | 513-588-4548
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT186044
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.121496
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD4014
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License Number State | PA
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