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General NPI Number Information
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NPI Number | 1437300456
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Entity Type | Organization
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Legal Business Name | PATRICIA A HARRISON INC.
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 3733 UNIVERSITY BLVD W SUITE 208
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2109
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Country | US
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Telephone | 904-386-4990
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Fax | 904-260-0435
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Provider Business Mailing Address
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Address Line | 2594 SPREADING OAKS LN
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City | JACKSONVILLE
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State | FL
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Zip | 32223-6501
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Country | US
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Telephone | 904-386-4990
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Fax | 904-260-0435
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PATRICIA ANN HARRISON
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Credential | MS, CCC
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Telephone | 904-386-4990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA1362
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License Number State | FL
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