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General NPI Number Information
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NPI Number | 1508164153
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Entity Type | Individual
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Provider Name | ELIZABETH A HARRISON LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 501 GOODLETTE RD N #D100
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City | NAPLES
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State | FL
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Zip | 34102-5661
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Country | US
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Telephone | 239-649-1569
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Fax | 800-595-3547
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Provider Business Mailing Address
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Address Line | 501 GOODLETTE RD N #D100
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City | NAPLES
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State | FL
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Zip | 34102-5661
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Country | US
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Telephone | 239-649-1569
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Fax | 800-595-3547
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW2214
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License Number State | FL
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