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General NPI Number Information
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NPI Number | 1699946723
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Entity Type | Organization
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Legal Business Name | HARRY R. DENISON, P.A.
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 312 SPRING ST.
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City | FORDYCE
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State | AR
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Zip | 71742
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Country | US
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Telephone | 870-352-2167
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Fax | 870-352-8883
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Provider Business Mailing Address
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Address Line | PO BOX 725
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City | FORDYCE
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State | AR
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Zip | 71742
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Country | US
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Telephone | 870-352-2167
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Fax | 870-352-8883
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARRY R. DENISON
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Credential | O.D.
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Telephone | 870-352-2167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2050
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License Number State | AR
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