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General NPI Number Information
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NPI Number | 1558432161
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Entity Type | Individual
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Provider Name | JAMES PINCKNEY HARRIS L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 3900 BARRETT DR SUITE 208
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City | RALEIGH
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State | NC
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Zip | 27609-6641
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Country | US
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Telephone | 919-785-1976
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 SHELLEY RD
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City | RALEIGH
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State | NC
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Zip | 27609-4337
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Country | US
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Telephone | 919-785-1976
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0000271
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License Number State | NC
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