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NPI 1356010946

NPI 1356010946 : SCOTT A HARRIS PLLC : RICHARDSON, TX

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General NPI Number Information
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    NPI Number           |    1356010946
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCOTT A HARRIS PLLC 
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Dates
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    Enumeration Date     |    09/08/2021
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    Last Update Date     |    09/08/2021
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Provider Practice Location Address
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    Address Line         |    660 W CAMPBELL RD STE 102 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-3473
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    Country              |    US
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    Telephone            |    972-231-3439
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    Fax                  |    972-231-0260
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Provider Business Mailing Address
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    Address Line         |    660 W CAMPBELL RD STE 102 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-3473
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    Country              |    US
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    Telephone            |    972-231-3439
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    Fax                  |    972-231-0260
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    DR. SCOTT ANDREW HARRIS 
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    Credential           |    O.D.
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    Telephone            |    972-762-5579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    
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