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General NPI Number Information
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NPI Number | 1881884831
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Entity Type | Organization
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Legal Business Name | J MICHAEL HARRIS MD PA
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 2750 BAHIA VISTA ST SUITE 270
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City | SARASOTA
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State | FL
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Zip | 34239-2600
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Country | US
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Telephone | 941-366-4440
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Fax | 941-366-2049
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Provider Business Mailing Address
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Address Line | 3953 SPYGLASS HILL RD
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City | SARASOTA
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State | FL
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Zip | 34238-2826
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Country | US
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Telephone | 941-921-3386
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN MICHAEL HARRIS
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Credential | MD
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Telephone | 941-921-3386
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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 | ME69548
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License Number State | FL
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