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General NPI Number Information
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NPI Number | 1053530212
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Entity Type | Individual
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Provider Name | DEBRA HARRISON C.P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 100 E CARROLL ST PEDIATRIC SPECIALTY SERVICES
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-543-7729
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Fax | 410-543-7586
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Provider Business Mailing Address
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Address Line | 3286 REDDEN FERRY RD
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City | EDEN
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State | MD
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Zip | 21822-2229
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Country | US
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Telephone | 410-677-0666
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Fax | 410-677-0667
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R078461
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License Number State | MD
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