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NPI 1154177160

NPI 1154177160 : AARON HARRIS APRN-CNP : FORT SMITH, AR

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General NPI Number Information
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    NPI Number           |    1154177160
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    Entity Type          |    Individual 
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    Provider Name        |    AARON HARRIS APRN-CNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/29/2024
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    Last Update Date     |    10/07/2025
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Provider Practice Location Address
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    Address Line         |    305 N GREENWOOD AVE 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72901-3453
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    Country              |    US
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    Telephone            |    479-242-9355
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    Fax                  |    479-242-4843
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Provider Business Mailing Address
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    Address Line         |    305 N GREENWOOD AVE 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72901-3453
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    Country              |    US
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    Telephone            |    479-242-6799
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    Fax                  |    479-242-1468
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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       |    226495
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    License Number State |    AR
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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       |    220681
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    License Number State |    OK
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