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General NPI Number Information
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NPI Number | 1700177334
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Entity Type | Organization
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Legal Business Name | BARBARA M HARRIS MSW LLC
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Dates
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Enumeration Date | 04/30/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 41 WASHINGTON AVE SUITE 320
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City | GRAND HAVEN
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State | MI
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Zip | 49417-1390
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Country | US
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Telephone | 616-846-0309
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Fax | 231-744-0085
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Provider Business Mailing Address
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Address Line | 41 WASHINGTON AVE SUITE 320
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City | GRAND HAVEN
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State | MI
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Zip | 49417-1390
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Country | US
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Telephone | 616-846-0309
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Fax | 231-744-0085
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. BARBARA M HARRIS
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Credential | MSW
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Telephone | 231-557-4419
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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 | 6801086192
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License Number State | MI
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