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General NPI Number Information
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NPI Number | 1982992327
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Entity Type | Organization
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Legal Business Name | R REX HARRIS MD LLC
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 33650 HIGHWAY 43 SUITE 300
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City | THOMASVILLE
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State | AL
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Zip | 36784-3305
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Country | US
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Telephone | 205-879-8294
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530604
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City | BIRMINGHAM
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State | AL
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Zip | 35223
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Country | US
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Telephone | 205-879-8294
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Fax | 205-879-8259
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD REX HARRIS
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Credential | MD
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Telephone | 334-636-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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