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General NPI Number Information
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NPI Number | 1609731751
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Entity Type | Individual
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Provider Name | MS. ANGELA DOROTHEA HARRISON
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 4809 E BUSCH BLVD 203
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City | TAMPA
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State | FL
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Zip | 33617
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Country | US
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Telephone | 813-284-6330
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Fax |
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Provider Business Mailing Address
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Address Line | 8937 AVENUE CLUB DR UNIT 101
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-5837
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Country | US
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Telephone | 813-284-6443
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | FL
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