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General NPI Number Information
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NPI Number | 1740193994
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Entity Type | Individual
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Provider Name | TONYA O HARRIS
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 14510 LEMOYNE BLVD APT 2607
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City | BILOXI
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State | MS
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Zip | 39532-6076
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Country | US
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Telephone | 228-281-0167
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Fax |
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Provider Business Mailing Address
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Address Line | 14510 LEMOYNE BLVD APT 2607
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City | BILOXI
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State | MS
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Zip | 39532-6076
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Country | US
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Telephone | 228-281-0167
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | NULL
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