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NPI 1144893892

NPI 1144893892 : JANAN JARAYSI HARBIN PA-C : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1144893892
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    Entity Type          |    Individual 
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    Provider Name        |    JANAN JARAYSI HARBIN PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2021
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    1401 CENTERVILLE RD 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32308-4647
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    Country              |    US
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    Telephone            |    850-877-7241
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    Fax                  |    850-877-1338
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Provider Business Mailing Address
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    Address Line         |    3341 SKYVIEW DR 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32303-7067
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    Country              |    US
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    Telephone            |    205-529-9902
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    2027
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    9120028
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    License Number State |    FL
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