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General NPI Number Information
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NPI Number | 1962759530
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Entity Type | Individual
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Provider Name | JESSE JO HARRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 301 N 27TH ST SUITE 100
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City | BILLINGS
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State | MT
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Zip | 59101-1261
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Country | US
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Telephone | 406-696-3522
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Fax | 406-256-5232
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Provider Business Mailing Address
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Address Line | PO BOX 30743
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City | BILLINGS
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State | MT
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Zip | 59107-0743
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Country | US
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Telephone | 406-855-2517
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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 | SWP-LCSW-LIC-11277
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License Number State | MT
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