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General NPI Number Information
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NPI Number | 1588663660
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Entity Type | Organization
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Legal Business Name | HARRIS MEDICAL CLINICS INC.
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 1200 MCLAIN ST
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City | NEWPORT
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State | AR
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Zip | 72112-3534
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Country | US
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Telephone | 870-523-2320
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 COMMERCE WAY SUITE 180
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City | BRENTWOOD
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State | TN
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Zip | 37027-2829
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Country | US
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Telephone | 615-465-7626
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Fax | 615-465-3007
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER ENROLLMENT
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Name | DEBBIE BREWER
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Credential |
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Telephone | 615-465-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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