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NPI 1053728923

NPI 1053728923 : HARMONY MCKAY FNP-BC : FOWLERVILLE, MI

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General NPI Number Information
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    NPI Number           |    1053728923
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    Entity Type          |    Individual 
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    Provider Name        |    HARMONY MCKAY FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/12/2014
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    Last Update Date     |    01/26/2018
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Provider Practice Location Address
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    Address Line         |    202 E VAN RIPER RD 
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    City                 |    FOWLERVILLE
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    State                |    MI
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    Zip                  |    48836-7947
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    Country              |    US
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    Telephone            |    517-223-7900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    36123 SCHOOLCRAFT RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48150-1216
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    Country              |    US
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    Telephone            |    734-793-6140
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    Fax                  |    865-560-8948
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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       |    4704216643
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    License Number State |    MI
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