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General NPI Number Information
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NPI Number | 1942579933
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Entity Type | Organization
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Legal Business Name | DR. HARRISON R. PRATER, D.C., P.A.
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 7601 CONROY WINDERMERE RD SUITE 204
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City | ORLANDO
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State | FL
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Zip | 32835-2689
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Country | US
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Telephone | 407-290-6503
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Fax | 407-292-5270
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Provider Business Mailing Address
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Address Line | 7601 CONROY WINDERMERE RD SUITE 204
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City | ORLANDO
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State | FL
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Zip | 32835-2689
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Country | US
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Telephone | 407-290-6503
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Fax | 407-292-5270
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRISON R. PRATER
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Credential | D.C.
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Telephone | 407-290-6503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH4188
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License Number State | FL
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