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General NPI Number Information
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NPI Number | 1396904785
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Entity Type | Individual
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Provider Name | BRIAN D HARRIS MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 120B SANTA MARGARITA AVE STE 211
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City | MENLO PARK
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State | CA
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Zip | 94025-2725
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Country | US
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Telephone | 650-308-4845
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Fax | 925-204-6417
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Provider Business Mailing Address
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Address Line | 120B SANTA MARGARITA AVE STE 211
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City | MENLO PARK
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State | CA
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Zip | 94025-2725
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Country | US
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Telephone | 650-308-4845
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Fax | 925-204-6417
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A100114
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | A100114
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | A100114
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License Number State | CA
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