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General NPI Number Information
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NPI Number | 1295528644
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Entity Type | Individual
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Provider Name | NICOLE MARIE HARRIS-LORD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1175 NE 125TH ST STE 320
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5010
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Country | US
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Telephone | 305-414-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 11800 SW 43RD ST UNIT 72
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City | MIRAMAR
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State | FL
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Zip | 33025-8115
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Country | US
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Telephone |
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | IMH26064
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License Number State | FL
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