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General NPI Number Information
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NPI Number | 1275332355
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Entity Type | Individual
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Provider Name | STEPHEN ALBERT HARRIS HIS
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Gender | Male
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 222 NE PARK PLAZA DR STE 105
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City | VANCOUVER
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State | WA
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Zip | 98684-5896
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Country | US
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Telephone | 360-892-9367
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Fax |
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Provider Business Mailing Address
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Address Line | 4308 NE 51ST AVE
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City | VANCOUVER
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State | WA
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Zip | 98661-3569
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Country | US
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Telephone | 971-285-6881
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 61328658
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License Number State | WA
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