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General NPI Number Information
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NPI Number | 1386464675
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Entity Type | Individual
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Provider Name | ANNA LEE HEIDT HARRIS LMT
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Gender | Female
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 6605 ABERCORN ST STE 114H
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City | SAVANNAH
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State | GA
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Zip | 31405-5815
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Country | US
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Telephone | 912-446-7881
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Fax |
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Provider Business Mailing Address
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Address Line | 320 HEIDT RD
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City | GUYTON
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State | GA
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Zip | 31312-5738
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Country | US
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Telephone | 912-547-5656
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT011071
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License Number State | GA
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