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General NPI Number Information
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NPI Number | 1992232177
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Entity Type | Organization
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Legal Business Name | R SCOTT HARRIS
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 05/18/2017
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Provider Practice Location Address
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Address Line | 32685 US HIGHWAY 281 N SUITE 100
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City | BULVERDE
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State | TX
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Zip | 78163-3271
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Country | US
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Telephone | 830-980-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 32685 US HIGHWAY 281 N SUITE 100
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City | BULVERDE
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State | TX
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Zip | 78163-3271
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Country | US
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Telephone | 830-980-2225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | R SCOTT HARIS
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Credential | DC
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Telephone | 830-980-2225
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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 | 4086
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License Number State | TX
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