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General NPI Number Information
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NPI Number | 1932256971
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Entity Type | Individual
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Provider Name | MICHELE MCKINLEY HARRINGTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 5095 S. WAHINGTON AVE SUITE 107
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City | TITUSVILLE
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State | FL
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Zip | 32780
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Country | US
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Telephone | 321-264-2808
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Fax | 321-264-9659
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Provider Business Mailing Address
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Address Line | 8114 WINDOVER WAY
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City | TITUSVILLE
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State | FL
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Zip | 32780-2514
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Country | US
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Telephone | 321-267-6488
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Fax | 321-264-9659
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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 | SW-5102
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License Number State | FL
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