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General NPI Number Information
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NPI Number | 1770394454
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Entity Type | Organization
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Legal Business Name | HARBOR PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 211 N MARKET ST STE B
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City | WASHINGTON
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State | NC
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Zip | 27889-4949
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Country | US
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Telephone | 252-623-2290
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2707
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City | WASHINGTON
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State | NC
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Zip | 27889-2707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA STEVENS
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Credential |
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Telephone | 252-623-2290
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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 |
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License Number State |
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