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General NPI Number Information
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NPI Number | 1538303003
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Entity Type | Individual
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Provider Name | WILLIAM HARRIS
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Gender | Male
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 415 RODMAN RD
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City | AUBURN
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State | ME
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Zip | 04210-3942
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Country | US
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Telephone | 207-376-3022
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Fax | 207-333-3501
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Provider Business Mailing Address
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Address Line | 800 CENTER ST
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City | AUBURN
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State | ME
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Zip | 04210-6404
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Country | US
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Telephone | 207-782-2726
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Fax | 207-333-3501
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OT1056
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License Number State | ME
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