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General NPI Number Information
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NPI Number | 1144710351
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Entity Type | Individual
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Provider Name | T'ANNA DENISHA HARRIS BA
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 8800 49TH ST N STE 106
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5332
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Country | US
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Telephone | 727-525-0044
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Fax | 727-545-0125
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Provider Business Mailing Address
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Address Line | 705 E BAY DR APT 261C
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City | LARGO
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State | FL
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Zip | 33770-3753
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Country | US
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Telephone | 727-244-0898
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | FL
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