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General NPI Number Information
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NPI Number | 1821167693
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Entity Type | Organization
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Legal Business Name | H. CHARLES-HARRIS MD PA
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1190 NW 95TH ST SUITE 101
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City | MIAMI
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State | FL
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Zip | 33150-2063
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Country | US
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Telephone | 305-691-2941
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Fax | 305-696-4435
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Provider Business Mailing Address
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Address Line | 1190 NW 95TH ST SUITE 101
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City | MIAMI
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State | FL
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Zip | 33150-2063
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Country | US
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Telephone | 305-691-2941
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Fax | 305-696-4435
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAKAN CHARLES-HARRIS
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Credential | MD
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Telephone | 305-691-2941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME 81121
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License Number State | FL
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