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General NPI Number Information
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NPI Number | 1649080508
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Entity Type | Individual
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Provider Name | CARROLL B HARRIS MSW, LCSWA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2025
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 1270 25TH STREET PL SE STE 3
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City | HICKORY
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State | NC
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Zip | 28602-9849
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Country | US
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Telephone | 828-571-0215
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ELGIN ST
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City | GRANITE FALLS
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State | NC
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Zip | 28630-1706
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Country | US
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Telephone | 828-571-0215
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021691
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License Number State | NC
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