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General NPI Number Information
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NPI Number | 1457311847
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Entity Type | Individual
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Provider Name | RENEE LEE HARRIS MS
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 278 N HIGH ST SUITE 1
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City | ROMNEY
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State | WV
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Zip | 26757-1415
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Country | US
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Telephone | 304-822-3429
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Fax | 304-822-7225
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Provider Business Mailing Address
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Address Line | 278 N HIGH ST PO BOX 1830
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City | ROMNEY
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State | WV
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Zip | 26757-1415
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Country | US
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Telephone | 304-822-3429
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Fax | 304-822-7225
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 794
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License Number State | WV
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