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General NPI Number Information
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NPI Number | 1487828729
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Entity Type | Organization
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Legal Business Name | JASON D HARRAH MD
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 300 E LAUREL AVE
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City | FOLEY
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State | AL
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Zip | 36535-2618
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Country | US
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Telephone | 251-970-5342
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E LAUREL AVE
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City | FOLEY
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State | AL
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Zip | 36535-2618
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON HARRAH
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Credential |
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Telephone | 251-970-5342
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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 | 24577
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License Number State | AL
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