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General NPI Number Information
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NPI Number | 1386902633
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Entity Type | Individual
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Provider Name | FRANK D HARRIS III PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 300 PRISON RD FOLSOM STATE PRISON - PHARMACY
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City | REPRESA
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State | CA
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Zip | 95671-4071
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Country | US
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Telephone | 916-985-2561
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Fax | 916-608-3112
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Provider Business Mailing Address
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Address Line | 300 PRISON RD FOLSOM STATE PRISON - PHARMACY
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City | REPRESA
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State | CA
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Zip | 95671-4071
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 51675
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License Number State | CA
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