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General NPI Number Information
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NPI Number | 1467149583
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Entity Type | Individual
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Provider Name | CARMESHA DANIELLE HARRIS SPECIALIST
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Gender | Female
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 711 E. WORTHY RD.
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City | GONZALES
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State | LA
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Zip | 70737
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Country | US
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Telephone | 225-323-6873
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 EAST CORNERVIEW STREET, GONZALES, LA, USA
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City | GONZALES
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State | LA
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Zip | 70737
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Country | US
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Telephone | 225-323-6873
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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