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General NPI Number Information
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NPI Number | 1538724067
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Entity Type | Individual
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Provider Name | DAVID CHRISTOPHER HARRIS PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 1800 HOWELL MILL RD NW STE 200
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City | ATLANTA
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State | GA
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Zip | 30318-0917
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Country | US
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Telephone | 404-352-1015
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 CLAIRMONT RD NE APT 1303
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City | BROOKHAVEN
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State | GA
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Zip | 30329-4465
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Country | US
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Telephone | 601-596-2203
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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