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General NPI Number Information
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NPI Number | 1720183296
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Entity Type | Individual
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Provider Name | CHRISTOPHER M HARRIS DDS
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 109 BEE ST DENTAL 160
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City | CHARLESTON
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State | SC
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Zip | 29401-5703
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Country | US
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Telephone | 843-577-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 983 CLEARSPRING DR
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City | CHARLESTON
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State | SC
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Zip | 29412-9657
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Country | US
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Telephone | 843-789-7351
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Fax | 843-789-6014
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 049717
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License Number State | NY
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