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General NPI Number Information
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NPI Number | 1457489700
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Entity Type | Organization
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Legal Business Name | ANIL HARRISON M.D. PSC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 1054 CENTER DR STE 2
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City | RICHMOND
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State | KY
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Zip | 40475-3851
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Country | US
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Telephone | 859-625-5242
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Fax | 859-625-5279
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Provider Business Mailing Address
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Address Line | 1054 CENTER DR STE 2
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City | RICHMOND
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State | KY
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Zip | 40475-3851
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Country | US
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Telephone | 859-625-5242
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Fax | 859-625-5279
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | MR. ANIL HARRISON
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Credential | M.D.
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Telephone | 859-625-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 32105
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License Number State | KY
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