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General NPI Number Information
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NPI Number | 1518030261
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Entity Type | Individual
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Provider Name | DWIGHT M HARRIS DC
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 101 N GREENVILLE AVE STE BB
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City | ALLEN
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State | TX
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Zip | 75002-9116
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Country | US
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Telephone | 972-727-6471
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Fax | 972-727-1211
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Provider Business Mailing Address
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Address Line | 101 N GREENVILLE AVE. STE BB
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City | ALLEN
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State | TX
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Zip | 75002-9116
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Country | US
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Telephone | 972-727-6471
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Fax | 972-727-1211
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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 | 2930
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License Number State | TX
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