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General NPI Number Information
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NPI Number | 1154248920
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Entity Type | Individual
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Provider Name | GLENDA HOWARD HARRIS-RN RN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 125 E PLAZA DR STE 107
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City | MOORESVILLE
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State | NC
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Zip | 28115-8083
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Country | US
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Telephone | 980-276-3544
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Fax | 800-208-7311
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Provider Business Mailing Address
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Address Line | 1343 CHARIDGE LN STE 118
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City | CHARLOTTE
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State | NC
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Zip | 28262-3530
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Country | US
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Telephone | 980-276-3544
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Fax | 800-208-7311
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 045988
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License Number State | NC
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