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General NPI Number Information
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NPI Number | 1922291145
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Entity Type | Organization
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Legal Business Name | PAUL HARRIS, M.D.
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 1100 N 19TH ST STE 4B
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City | ABILENE
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State | TX
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Zip | 79601-2344
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Country | US
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Telephone | 325-670-5580
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Fax | 325-670-5586
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Provider Business Mailing Address
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Address Line | 1100 N 19TH ST STE 4B
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City | ABILENE
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State | TX
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Zip | 79601-2344
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Country | US
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Telephone | 325-670-5580
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Fax | 325-670-5586
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PAUL C HARRIS
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Credential | M.D.
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Telephone | 325-670-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MDG8162
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License Number State | TX
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