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General NPI Number Information
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NPI Number | 1982734000
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Entity Type | Individual
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Provider Name | HARRIS A ROSS DO
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 328 W GODFREY AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 215-276-1122
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Fax | 215-549-4007
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Provider Business Mailing Address
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Address Line | 328 W GODFREY AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 215-276-1122
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Fax | 215-549-4007
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS002098L
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License Number State | PA
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