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General NPI Number Information
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NPI Number | 1154146595
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Entity Type | Individual
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Provider Name | JAMIE LEA HARRIS DPT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 7315 E FRONTAGE RD STE 120
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City | MERRIAM
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State | KS
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Zip | 66204-1658
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Country | US
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Telephone | 913-676-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 6909 N EDISON AVE
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City | KANSAS CITY
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State | MO
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Zip | 64151-2295
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Country | US
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Telephone | 619-316-5173
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2024037177
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-07697
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License Number State | KS
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