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General NPI Number Information
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NPI Number | 1639413420
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Entity Type | Individual
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Provider Name | JOSEPH ROBERT HARRIS JR. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 100 HILLCREST SQ STE J
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City | LAURENS
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State | SC
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Zip | 29360-2355
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Country | US
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Telephone | 864-984-2518
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Fax | 864-984-6037
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Provider Business Mailing Address
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Address Line | 100 HILLCREST SQ STE J P. O. BOX 686
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City | LAURENS
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State | SC
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Zip | 29360-2355
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Country | US
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Telephone | 864-984-2518
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Fax | 864-984-6037
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 311
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License Number State | SC
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