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General NPI Number Information
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NPI Number | 1851427363
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Entity Type | Organization
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Legal Business Name | HARRIS COMFORT SHOES INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 406 VIA DE PALMA
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 561-392-1200
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Fax | 561-392-1015
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Provider Business Mailing Address
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Address Line | 406 VIA DE PALMA
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 561-392-1200
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Fax | 561-392-1015
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. RICHARD E HARRIS
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Credential | CPED LPED
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Telephone | 561-392-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | PED55
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License Number State | FL
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