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General NPI Number Information
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NPI Number | 1437272036
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Entity Type | Organization
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Legal Business Name | JOEL J. HARRIS, D. O. P. C.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 27301 DEQUINDRE RD SUITE 209
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3473
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Country | US
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Telephone | 248-541-1532
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Fax |
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Provider Business Mailing Address
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Address Line | 27301 DEQUINDRE RD SUITE 209
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3473
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Country | US
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Telephone | 248-541-1532
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEL HARRIS
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Credential | D O
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Telephone | 245-541-1532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | JH006452
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License Number State | MI
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