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General NPI Number Information
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NPI Number | 1972678381
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Entity Type | Organization
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Legal Business Name | HARRIS FAMILY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14231 N 7TH ST SUITE 5A & 6A
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City | PHOENIX
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State | AZ
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Zip | 85022-4360
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Country | US
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Telephone | 602-938-2425
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Fax | 602-547-9710
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Provider Business Mailing Address
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Address Line | 14231 N 7TH ST SUITE 5A & 6A
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City | PHOENIX
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State | AZ
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Zip | 85022-4360
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIFFANY E. HARRIS
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Credential | D.C.
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Telephone | 602-938-2425
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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 | 5651
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License Number State | AZ
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