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General NPI Number Information
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NPI Number | 1699228486
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Entity Type | Organization
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Legal Business Name | JASON R. HARRIS DDS, PA
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 8838 US 70 HWY W SUITE 100
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City | CLAYTON
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State | NC
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Zip | 27520-4822
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Country | US
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Telephone | 919-550-8171
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Fax |
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Provider Business Mailing Address
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Address Line | 8838 US 70 HWY W SUITE 100
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City | CLAYTON
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State | NC
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Zip | 27520-4822
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Country | US
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Telephone | 919-550-8171
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JASON ROBERT HARRIS
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Credential | DDS
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Telephone | 252-213-2545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9744
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License Number State | NC
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