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General NPI Number Information
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NPI Number | 1629539259
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Entity Type | Individual
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Provider Name | CHAD LAWRENCE HARRIS DO
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 108 DELANCEY ST
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City | NEW YORK
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State | NY
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Zip | 10002-3202
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Country | US
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Telephone | 212-677-2157
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Fax | 212-982-2792
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Provider Business Mailing Address
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Address Line | 108 DELANCEY ST
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City | NEW YORK
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State | NY
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Zip | 10002-3202
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Country | US
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Telephone | 212-677-2157
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Fax | 212-982-2792
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS19608
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 333148
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS19608
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License Number State | FL
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