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General NPI Number Information
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NPI Number | 1700942091
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Entity Type | Organization
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Legal Business Name | DEBORAH A HARRISON PHD & ASSOC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 501 GOODLETTE RD N SUITE A-202
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City | NAPLES
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State | FL
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Zip | 34102-5661
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Country | US
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Telephone | 239-732-5959
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Fax | 239-732-5955
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Provider Business Mailing Address
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Address Line | 501 GOODLETTE RD N SUITE A-202
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City | NAPLES
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State | FL
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Zip | 34102-5661
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Country | US
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Telephone | 239-732-5959
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Fax | 239-732-5955
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH ANNE HARRISON
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Credential | PH.D.
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Telephone | 239-732-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY3967
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License Number State | FL
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