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General NPI Number Information
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NPI Number | 1467568956
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Entity Type | Organization
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Legal Business Name | HARRISON ENT INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 212 PEARL ST
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City | DARLINGTON
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State | SC
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Zip | 29532-3811
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Country | US
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Telephone | 843-393-1850
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Fax | 843-393-2658
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Provider Business Mailing Address
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Address Line | 212 PEARL ST
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City | DARLINGTON
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State | SC
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Zip | 29532-3811
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Country | US
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Telephone | 843-393-1850
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Fax | 843-393-2658
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELAINE L HARRISON
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Credential |
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Telephone | 843-393-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 18190
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License Number State | SC
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