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General NPI Number Information
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NPI Number | 1669675401
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Entity Type | Individual
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Provider Name | RHONDA LEE HARNISH
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 207 SQUARE DANCE RD
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City | DENISON
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State | TX
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Zip | 75021-4446
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Country | US
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Telephone | 903-464-0070
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Fax | 903-464-0078
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Provider Business Mailing Address
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Address Line | 207 SQUARE DANCE RD
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City | DENISON
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State | TX
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Zip | 75021-4446
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Country | US
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Telephone | 903-464-0070
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Fax | 903-464-0078
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 33043
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 200109430A
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License Number State | OK
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