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General NPI Number Information
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NPI Number | 1720226921
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Entity Type | Organization
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Legal Business Name | WILLIAM T. HARBOUR, MD
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 18926 WILD ROSE LANE #2
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City | TOMBALL
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State | TX
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Zip | 77377
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Country | US
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Telephone | 281-433-7204
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Fax | 281-351-4909
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Provider Business Mailing Address
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Address Line | 18926 WILD ROSE LANE #2
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City | TOMBALL
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State | TX
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Zip | 77377
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Country | US
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Telephone | 281-433-7204
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Fax | 281-351-4909
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM THOMAS HARBOUR
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Credential | MD
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Telephone | 281-433-7204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | D2236
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License Number State | TX
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