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General NPI Number Information
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NPI Number | 1285597864
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Entity Type | Organization
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Legal Business Name | HARRISON LIMITED LIABILITY CO.
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 415 CONESTOGA WAY
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City | SAN JOSE
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State | CA
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Zip | 95123-4215
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Country | US
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Telephone | 510-921-8892
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 DIXIE DR
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City | SAN JOSE
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State | CA
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Zip | 95122-2505
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Country | US
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Telephone | 510-921-8892
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOCELLE HARRISON
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Credential |
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Telephone | 510-921-8892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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