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General NPI Number Information
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NPI Number | 1588126817
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Entity Type | Individual
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Provider Name | LEAH STARR HARRIS LPC
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 101 W COOPERATIVE WAY STE 215
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City | GEORGETOWN
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State | TX
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Zip | 78626-8210
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Country | US
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Telephone | 361-660-6456
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Fax |
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Provider Business Mailing Address
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Address Line | 109 JAKE DR
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City | JARRELL
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State | TX
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Zip | 76537-1775
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Country | US
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Telephone | 361-660-6456
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 73814
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 73814
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License Number State | TX
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