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General NPI Number Information
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NPI Number | 1366920746
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Entity Type | Organization
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Legal Business Name | HARRISON FAMILY PRACTICE INC
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 18119 SUSSEX HWY UNIT 1
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City | BRIDGEVILLE
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State | DE
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Zip | 19933-4095
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Country | US
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Telephone | 302-228-5128
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Fax |
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Provider Business Mailing Address
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Address Line | 16812 OAK RD
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City | BRIDGEVILLE
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State | DE
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Zip | 19933-3980
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Country | US
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Telephone | 302-228-5128
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES ROBERT HARRISON
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Credential |
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Telephone | 302-462-1365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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