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General NPI Number Information
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NPI Number | 1568625499
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Entity Type | Organization
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Legal Business Name | HARRIS FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 630 ROBERT E LEE AVE
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City | ELKINS
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State | WV
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Zip | 26241-3211
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Country | US
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Telephone | 304-637-2326
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Fax | 304-637-0404
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Provider Business Mailing Address
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Address Line | 630 ROBERT E LEE AVE
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City | ELKINS
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State | WV
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Zip | 26241-3211
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Country | US
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Telephone | 304-637-2326
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Fax | 304-637-0404
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT W. HARRIS
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Credential | DC
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Telephone | 304-637-2326
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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 | 783
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License Number State | WV
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