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General NPI Number Information
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NPI Number | 1942367099
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Entity Type | Organization
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Legal Business Name | LARRY A. HARRIS
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 664 SANGO RD.
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City | CLARKSVILLE
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State | TN
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Zip | 37043-5489
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Country | US
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Telephone | 931-368-1996
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Fax | 931-368-0448
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Provider Business Mailing Address
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Address Line | 664 SANGO RD.
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City | CLARKSVILLE
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State | TN
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Zip | 37043-5489
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Country | US
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Telephone | 931-368-1996
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Fax | 931-368-0448
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | LARRY A HARRIS
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Credential | D.C.
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Telephone | 931-368-1996
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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 |
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License Number State |
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