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General NPI Number Information
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NPI Number | 1972875136
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Entity Type | Organization
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Legal Business Name | HARRIS CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 2234 E LOOP 820
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City | FORT WORTH
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State | TX
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Zip | 76112-4013
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Country | US
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Telephone | 817-654-2200
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Fax | 817-496-6011
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Provider Business Mailing Address
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Address Line | 2234 E LOOP 820
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City | FORT WORTH
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State | TX
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Zip | 76112-4013
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Country | US
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Telephone | 817-654-2200
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Fax | 817-496-6011
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DENNIS A HARRIS
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Credential | D.C
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Telephone | 817-654-2200
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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 | 193400000X
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License Number State | TX
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