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General NPI Number Information
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NPI Number | 1477878692
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Entity Type | Individual
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Provider Name | JAMES C HARRIS R.PH
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Gender | Male
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 1649 E ROY PARKER RD
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City | OZARK
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State | AL
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Zip | 36360-4716
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Country | US
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Telephone | 334-791-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 E ROY PARKER RD
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City | OZARK
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State | AL
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Zip | 36360-4716
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Country | US
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Telephone | 334-774-5916
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6558
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License Number State | AK
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