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General NPI Number Information
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NPI Number | 1063927101
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Entity Type | Individual
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Provider Name | JUANITA JONES-HARRIS DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 5009 RIVERCHASE DR STE 500
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City | PHENIX CITY
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State | AL
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Zip | 36867-7490
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Country | US
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Telephone | 334-448-9505
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Fax | 334-448-9575
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Provider Business Mailing Address
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Address Line | PO BOX 117337
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City | ATLANTA
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State | GA
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Zip | 30368-7337
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Country | US
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Telephone | 770-250-8001
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN255890
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-145440
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License Number State | AL
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