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General NPI Number Information
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NPI Number | 1962584821
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Entity Type | Individual
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Provider Name | MARK S HARRIS D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 17610 MIDWAY RD STE. 124
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City | DALLAS
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State | TX
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Zip | 75287-6777
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Country | US
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Telephone | 972-380-6977
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Fax | 972-250-1149
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Provider Business Mailing Address
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Address Line | 6711 W NORTHWEST HWY
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City | DALLAS
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State | TX
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Zip | 75225-4201
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Country | US
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Telephone | 214-369-4777
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Fax | 833-234-0744
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3028
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License Number State | TX
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