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General NPI Number Information
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NPI Number | 1114614591
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Entity Type | Individual
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Provider Name | CORINA MARIE HARRISON
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 2160 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43201-1113
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Country | US
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Telephone | 614-294-2105
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Fax |
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Provider Business Mailing Address
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Address Line | 2160 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43201-1113
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Country | US
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Telephone | 614-294-2105
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN.429715
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0034037
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License Number State | OH
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