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General NPI Number Information
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NPI Number | 1578090676
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Entity Type | Individual
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Provider Name | KATLYN JO HARMAN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 495 GRAND BLVD STE 206
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-1897
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 5240 COY BURGESS LOOP
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32435-6368
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11830165
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License Number State |
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