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General NPI Number Information
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NPI Number | 1336104850
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Entity Type | Individual
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Provider Name | KRISTI L. HARRIS P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 567 HWY 67 S SUITE B
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City | POCAHONTAS
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State | AR
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Zip | 72455
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Country | US
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Telephone | 870-248-1119
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Fax | 870-277-0896
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Provider Business Mailing Address
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Address Line | 567 HWY 67 S SUITE B
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City | POCAHONTAS
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State | AR
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Zip | 72455
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Country | US
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Telephone | 870-248-1119
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Fax | 870-277-0896
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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 | PT 2338
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License Number State | AR
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