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General NPI Number Information
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NPI Number | 1790778942
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Entity Type | Individual
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Provider Name | EARL HARRISON JR. MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 30 13TH ST
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City | HAVRE
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State | MT
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Zip | 59501-5222
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Country | US
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Telephone | 406-265-5827
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1540
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City | HAVRE
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State | MT
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Zip | 59501-1540
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Country | US
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Telephone | 406-265-5827
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Fax | 406-265-5949
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 4750
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License Number State | MT
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