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General NPI Number Information
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NPI Number | 1124775622
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Entity Type | Organization
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Legal Business Name | HARRISON THERAPY AND EDUCATIONAL SERVICES LLC
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 290 CLOVER LN
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City | BRISTOL
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State | VA
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Zip | 24201-1676
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Country | US
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Telephone | 434-258-6163
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10761
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City | LYNCHBURG
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State | VA
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Zip | 24506-0761
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Country | US
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Telephone | 434-258-6163
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | CHRISTINA HARRISON
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Credential |
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Telephone | 434-258-6163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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