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General NPI Number Information
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NPI Number | 1558852426
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Entity Type | Individual
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Provider Name | ANGELA P HARRIS OTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 813 JOY RANCH RD
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City | WOODLAWN
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State | VA
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Zip | 24381-1305
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Country | US
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Telephone | 276-233-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 813 JOY RANCH RD
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City | WOODLAWN
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State | VA
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Zip | 24381-1305
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Country | US
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Telephone | 276-601-2838
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Fax | 276-601-2839
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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 | 0119002922
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7715
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7173
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License Number State | NC
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