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General NPI Number Information
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NPI Number | 1396924775
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Entity Type | Organization
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Legal Business Name | STEPHANIE J. HARRIS, PA
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 7300 W CAMINO REAL SUITE 202
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City | BOCA RATON
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State | FL
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Zip | 33433-5512
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Country | US
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Telephone | 561-955-9800
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Fax | 561-955-9800
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Provider Business Mailing Address
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Address Line | 7300 W CAMINO REAL SUITE 202
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City | BOCA RATON
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State | FL
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Zip | 33433-5512
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Country | US
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Telephone | 561-955-9800
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Fax | 561-955-9800
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHANIE JOY HARRIS
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Credential | PSY.D.
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Telephone | 561-955-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6881
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License Number State | FL
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