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General NPI Number Information
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NPI Number | 1851653315
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Entity Type | Individual
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Provider Name | ADAM CHRISTOPHER HARLESS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 504-842-3260
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Fax | 504-842-3193
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Provider Business Mailing Address
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Address Line | 232 WHIDDON RD
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City | PURVIS
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State | MS
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Zip | 39475-4138
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Country | US
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Telephone | 601-520-0837
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Fax |
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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 | PGY.201682
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25296
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD.206509
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License Number State | LA
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