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General NPI Number Information
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NPI Number | 1649201690
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Entity Type | Individual
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Provider Name | KRISTIE ANN HARRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1025 STRAKA TER
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-2544
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Country | US
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Telephone | 405-632-6688
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Fax | 405-604-0923
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Provider Business Mailing Address
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Address Line | 1110 SANDRA DR
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City | MIDWEST CITY
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State | OK
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Zip | 73110-2766
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Country | US
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Telephone | 405-610-7867
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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 | 2640
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW005330
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1834
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License Number State | KS
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