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General NPI Number Information
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NPI Number | 1467643080
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Entity Type | Individual
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Provider Name | THERESA L HARRIS DC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 1306 E SILVER SPRINGS BLVD UNIT 102
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City | OCALA
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State | FL
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Zip | 34470-6800
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Country | US
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Telephone | 352-622-6622
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Fax | 888-304-5851
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Provider Business Mailing Address
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Address Line | 2050 SW 7TH PL
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City | OCALA
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State | FL
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Zip | 34471-1852
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Country | US
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Telephone | 678-570-6146
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Fax | 888-304-5851
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008216
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10004
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License Number State | FL
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