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General NPI Number Information
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NPI Number | 1801336425
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Entity Type | Organization
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Legal Business Name | ADAM S HARRIS MD LLC
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 4600 HIGHWAY 280
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5028
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Country | US
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Telephone | 205-821-3670
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530604
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City | BIRMINGHAM
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State | AL
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Zip | 35253-0604
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Country | US
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Telephone | 205-879-8294
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM S HARRIS
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Credential | MD
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Telephone | 205-621-3670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD32505
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License Number State | AL
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