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General NPI Number Information
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NPI Number | 1932080108
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Entity Type | Individual
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Provider Name | QUENESHA PRECIOUS HARRIS
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4401 SPICEWOOD SPRINGS RD
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City | AUSTIN
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State | TX
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Zip | 78759-8682
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Country | US
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Telephone | 512-418-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 14708 IMMANUEL RD APT 8206
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7145
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Country | US
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Telephone | 309-989-4333
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 218233
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License Number State | TX
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