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General NPI Number Information
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NPI Number | 1518071471
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Entity Type | Individual
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Provider Name | MARNA RACENE HARRIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 14301 N 87TH ST STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3687
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Country | US
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Telephone | 480-351-8188
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Fax | 480-351-8187
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Provider Business Mailing Address
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Address Line | 14301 N 87TH ST STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3687
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Country | US
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Telephone | 480-351-8188
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Fax | 480-351-8187
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD423192
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036.121054
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 43522
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0052234
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License Number State | CO
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