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General NPI Number Information
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NPI Number | 1902812035
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Entity Type | Individual
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Provider Name | JAMES L HARRISON DMD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2809 N. HURSTBOURNE PKWY SUITE 115
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City | LOUISVILLE
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State | KY
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Zip | 40223
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Country | US
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Telephone | 502-423-5177
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Fax | 502-423-5179
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Provider Business Mailing Address
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Address Line | 8106 APPLE VALLEY DR
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City | LOUISVILLE
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State | KY
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Zip | 40228-1792
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Country | US
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Telephone | 502-419-7234
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8123
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License Number State | KY
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