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NPI 1407859804

NPI 1407859804 : JOSEPH ANDREW HARRISON MD : NEW BRITAIN, CT

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General NPI Number Information
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    NPI Number           |    1407859804
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH ANDREW HARRISON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2005
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    Last Update Date     |    01/14/2020
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Provider Practice Location Address
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    Address Line         |    6 PARK PL 
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    City                 |    NEW BRITAIN
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    State                |    CT
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    Zip                  |    06052-1403
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    Country              |    US
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    Telephone            |    860-223-1124
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    Fax                  |    860-229-1185
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Provider Business Mailing Address
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    Address Line         |    6 PARK PL 
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    City                 |    NEW BRITAIN
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    State                |    CT
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    Zip                  |    06052-1403
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    Country              |    US
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    Telephone            |    860-223-1124
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    Fax                  |    860-229-1185
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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        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    22930
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    License Number State |    CT
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