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General NPI Number Information
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NPI Number | 1053317628
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Entity Type | Individual
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Provider Name | EVELYN LOIS HARRIS ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 1580 SANTA BARBARA BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32159-6827
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Country | US
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Telephone | 352-259-2159
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Fax | 352-259-5731
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Provider Business Mailing Address
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Address Line | 1580 SANTA BARBARA BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32159-6827
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Country | US
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Telephone | 352-259-2159
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Fax | 352-259-5731
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP1060822
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License Number State | FL
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