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General NPI Number Information
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NPI Number | 1114343639
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Entity Type | Individual
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Provider Name | AMBER HARRISON CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 4810 WHITESPORT CIR SW STE 110
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City | HUNTSVILLE
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State | AL
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Zip | 35801-7439
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Country | US
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Telephone | 205-977-9876
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Fax |
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Provider Business Mailing Address
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Address Line | 4021 BALMORAL DR SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6403
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Country | US
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Telephone | 256-539-2741
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Fax | 256-539-6964
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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 | 1-129281
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License Number State | AL
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