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General NPI Number Information
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NPI Number | 1649491507
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Entity Type | Individual
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Provider Name | MICHELLE LEE HARRITY LMT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 803 S FORT HARRISON AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-3901
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Country | US
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Telephone | 727-441-8644
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Fax | 727-449-8201
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Provider Business Mailing Address
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Address Line | 803 S FORT HARRISON AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-3901
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Country | US
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Telephone | 727-447-7805
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA0011237
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License Number State | FL
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