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General NPI Number Information
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NPI Number | 1154655454
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Entity Type | Individual
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Provider Name | DEBORAH ANN HARRIS R.N.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1996 SAGAMORE DR
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City | EUCLID
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State | OH
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Zip | 44117-2434
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Country | US
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Telephone | 216-905-6933
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Fax |
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Provider Business Mailing Address
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Address Line | 1996 SAGAMORE DR
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City | EUCLID
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State | OH
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Zip | 44117-2434
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Country | US
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Telephone | 216-905-6933
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201042
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 201042
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License Number State | OH
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