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General NPI Number Information
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NPI Number | 1811945801
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Entity Type | Individual
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Provider Name | RICHARD S HARRIS DO
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 550 MIRABEAU ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1617
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Country | US
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Telephone | 937-981-2116
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Fax | 937-981-9238
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Provider Business Mailing Address
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Address Line | 4750 HEMPSTEAD STATION DR
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City | KETTERING
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State | OH
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Zip | 45429-5164
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Country | US
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Telephone | 800-875-0136
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Fax | 937-619-4231
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34004098H
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License Number State | OH
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