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General NPI Number Information
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NPI Number | 1902090236
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Entity Type | Organization
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Legal Business Name | HARRIS CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 4217 FAIRWAY BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2454
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Country | US
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Telephone | 940-696-5150
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Fax | 940-696-0475
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Provider Business Mailing Address
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Address Line | 4217 FAIRWAY BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2454
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Country | US
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Telephone | 940-696-5150
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Fax | 940-696-0475
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES W HARRIS
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Credential | DC
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Telephone | 940-696-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5967
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License Number State | TX
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