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General NPI Number Information
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NPI Number | 1437316411
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Entity Type | Individual
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Provider Name | WILLIAM DENNIS HARRIS MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 4250 HOSPITAL DR
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City | MARIANNA
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State | FL
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Zip | 32446-1917
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Country | US
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Telephone | 850-718-2644
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Fax | 850-718-2894
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Provider Business Mailing Address
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Address Line | 7126 ATASCADERO LN
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City | TALLAHASSEE
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State | FL
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Zip | 32317-7460
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Country | US
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Telephone | 423-290-9772
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Fax | 850-718-2894
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TRN12160
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 110030
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License Number State | FL
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