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General NPI Number Information
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NPI Number | 1861445694
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Entity Type | Individual
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Provider Name | RICHARD DEAN HARRISON LPC
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | 917 1ST ST
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City | SHELBY
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State | NC
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Zip | 28150-3958
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Country | US
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Telephone | 704-476-4027
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Fax | 704-476-4097
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Provider Business Mailing Address
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Address Line | 350 PEE DEE AVE SUITE 101
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City | ALBEMARLE
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State | NC
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Zip | 28001-4932
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Country | US
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Telephone | 704-986-1500
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Fax | 866-404-5622
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7319
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License Number State | NC
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