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General NPI Number Information
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NPI Number | 1720202583
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Entity Type | Organization
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Legal Business Name | RICHARD G. HARRIS, MD, LTD
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 2385 E PRATER WAY SUITE #104
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City | SPARKS
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State | NV
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Zip | 89434-9629
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Country | US
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Telephone | 775-352-3535
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Fax | 775-352-3530
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Provider Business Mailing Address
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Address Line | PO BOX 50880
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City | SPARKS
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State | NV
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Zip | 89435-0880
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Country | US
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Telephone | 775-352-3535
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Fax | 775-352-3530
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD G HARRIS
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Credential | MD
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Telephone | 775-352-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 7275
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License Number State | NV
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