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General NPI Number Information
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NPI Number | 1750405312
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Entity Type | Individual
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Provider Name | BRETT MORRIS HARRISON P.T.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 210 MEDIC LN
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City | ALVIN
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State | TX
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Zip | 77511-5576
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Country | US
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Telephone | 281-331-7455
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Fax | 281-585-1266
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Provider Business Mailing Address
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Address Line | 13636 6TH ST
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City | SANTA FE
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State | TX
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Zip | 77517-4306
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Country | US
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Telephone | 409-316-1052
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Fax | 281-585-1266
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1034130
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License Number State | TX
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