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General NPI Number Information
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NPI Number | 1386108355
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Entity Type | Individual
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Provider Name | PRECIOUS HARRIS OT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2104 LEWIS TURNER BLVD
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1316
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Country | US
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Telephone | 850-862-3728
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Fax | 850-862-6270
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Provider Business Mailing Address
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Address Line | 2218 COTTINGHAM DR
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City | MONTGOMERY
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State | AL
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Zip | 36106-3509
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Country | US
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Telephone | 334-318-6520
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4862
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT19744
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License Number State | FL
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