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General NPI Number Information
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NPI Number | 1447927421
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Entity Type | Individual
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Provider Name | FAITH HARRIS DPT
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 950 E COUNTY LINE RD STE E
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City | RIDGELAND
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State | MS
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Zip | 39157-1928
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Country | US
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Telephone | 601-853-9747
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Fax |
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Provider Business Mailing Address
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Address Line | 921 W BEACON ST
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City | PHILADELPHIA
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State | MS
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Zip | 39350-3229
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7123
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License Number State | MS
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