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General NPI Number Information
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NPI Number | 1376756775
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Entity Type | Individual
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Provider Name | THOMAS HARRIS PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7261 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-8017
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Country | US
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Telephone | 303-471-2466
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Fax | 303-471-6066
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Provider Business Mailing Address
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Address Line | 2700 ROCKBRIDGE DR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2228
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1984
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License Number State | CO
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