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General NPI Number Information
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NPI Number | 1366556524
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Entity Type | Organization
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Legal Business Name | HARRIS & HARRIS DMD PSC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5014 PRESTON HWY #B
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City | LOUISVILLE
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State | KY
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Zip | 40213
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Country | US
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Telephone | 502-966-0188
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Fax | 502-966-0189
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Provider Business Mailing Address
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Address Line | 5014 PRESTON HWY #B
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City | LOUISVILLE
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State | KY
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Zip | 40213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN EARL HARRIS JR.
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Credential | DMD
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Telephone | 502-966-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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