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General NPI Number Information
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NPI Number | 1083401152
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Entity Type | Individual
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Provider Name | ROLANDA HARRIS DSW, LCSW-QS
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 6901 N 9TH AVE # 1245
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City | PENSACOLA
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State | FL
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Zip | 32504-6670
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Country | US
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Telephone | 850-312-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 6054 S GULF MNR
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City | PENSACOLA
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State | FL
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Zip | 32526-1550
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Country | US
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Telephone | 850-417-0305
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW20076
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License Number State | FL
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