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General NPI Number Information
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NPI Number | 1689653313
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Entity Type | Individual
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Provider Name | DAVID E. HARRISON D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 211 S MAIN ST SUITE 302 A
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2264
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Country | US
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Telephone | 160-946-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 9031 2ND AVE
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City | STONE HARBOR
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State | NJ
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Zip | 08247-2053
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Country | US
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Telephone | 160-957-6979
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Fax | 160-924-9281
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MB057134
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License Number State | NJ
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