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General NPI Number Information
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NPI Number | 1689610016
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Entity Type | Individual
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Provider Name | JAMES I. HARRING M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 03/31/2009
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Provider Practice Location Address
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Address Line | 201 CENTENNIAL ST. UNIT C-1
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City | LA PLATA
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State | MD
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Zip | 20646-5967
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Country | US
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Telephone | 301-934-9711
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Fax | 301-934-3998
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Provider Business Mailing Address
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Address Line | PO BOX 1734 UNIT C-1
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City | LA PLATA
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State | MD
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Zip | 20646-1734
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Country | US
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Telephone | 301-934-9711
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Fax | 301-934-3998
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0052919
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License Number State | MD
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