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General NPI Number Information
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NPI Number | 1073093076
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Entity Type | Individual
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Provider Name | NAKITA LETITIA HARRIS NP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2018
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | CVS MINUTE CLINIC 13000 WARWICK BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23602
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Country | US
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Telephone | 757-269-0136
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Fax |
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Provider Business Mailing Address
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Address Line | 601 BLANTON DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-1055
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Country | US
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Telephone | 504-470-9390
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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 | 0024176502
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License Number State | VA
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