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General NPI Number Information
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NPI Number | 1023800083
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Entity Type | Individual
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Provider Name | CHRISTA LYN HARRIS
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 2305 E WILCOX DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2738
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Country | US
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Telephone | 520-458-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 11529 S HUTCHINSON RD
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City | HEREFORD
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State | AZ
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Zip | 85615-8114
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Country | US
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Telephone | 520-861-0933
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 322956
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License Number State | AZ
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