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General NPI Number Information
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NPI Number | 1568528495
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Entity Type | Individual
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Provider Name | KEVIN HARRIS DPT, DSC, OCS, CSCS
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3141 CENTENNIAL BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4094
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Country | US
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Telephone | 719-227-4473
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Fax |
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Provider Business Mailing Address
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Address Line | 11050 MOUNT BELVEDERE BLVD
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City | FORT DRUM
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State | NY
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Zip | 13602-5438
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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 |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 8121
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License Number State | CO
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