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General NPI Number Information
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NPI Number | 1518629096
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Entity Type | Individual
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Provider Name | HANNAH NICOLE HARRIS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1900 STILLWATER DR.
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City | JONESBORO
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State | AR
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Zip | 72404
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Country | US
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Telephone | 870-336-8100
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Fax | 877-769-1668
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Provider Business Mailing Address
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Address Line | 3127 SOUTHWEST DR.
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City | JONESBORO
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State | AR
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Zip | 72404
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Country | US
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Telephone | 870-336-8100
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Fax | 870-769-1668
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3572
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License Number State | AR
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