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General NPI Number Information
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NPI Number | 1598580508
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Entity Type | Individual
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Provider Name | MOLLY T HARRIS PHD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3505 FREDERICK AVE
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2914
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Country | US
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Telephone | 816-387-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 609 WHITE OAK LN
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City | KANSAS CITY
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State | MO
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Zip | 64116-4606
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2025023160
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License Number State | MO
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