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General NPI Number Information
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NPI Number | 1326141797
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Entity Type | Individual
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Provider Name | DAVID CUSHMAN HARRISON MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4807 HERMITAGE RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23227-3335
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Country | US
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Telephone | 804-262-7888
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Fax | 804-262-3646
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Provider Business Mailing Address
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Address Line | 4807 HERMITAGE RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23227-3335
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Country | US
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Telephone | 804-262-7888
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Fax | 804-262-3646
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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 | 0101056283
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License Number State | VA
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