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General NPI Number Information
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NPI Number | 1780007641
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Entity Type | Individual
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Provider Name | DEBORAH HARRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 8151 S 5940 W
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City | WEST JORDAN
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State | UT
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Zip | 84081
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Country | US
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Telephone | 410-300-7629
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Fax |
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Provider Business Mailing Address
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Address Line | 8151 S 5940 W
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City | WEST JORDAN
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State | UT
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Zip | 84081-3101
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Country | US
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Telephone | 410-300-7629
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8349108-3502
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8349108-3501
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License Number State | UT
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