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General NPI Number Information
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NPI Number | 1376697771
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Entity Type | Organization
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Legal Business Name | HARRISON ORTHOTIC SERVICES INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29 01 216TH STREET
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City | BAYSIDE
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State | NY
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Zip | 11360
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Country | US
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Telephone | 718-225-6517
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Fax | 718-225-6517
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Provider Business Mailing Address
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Address Line | 29 01 216TH STREET
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City | BAYSIDE
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State | NY
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Zip | 11360
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Country | US
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Telephone | 718-225-6517
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Fax | 718-225-6517
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES HARRISON
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Credential | CO
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Telephone | 718-225-6517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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