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General NPI Number Information
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NPI Number | 1215634092
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Entity Type | Individual
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Provider Name | WILLIAM GEORGE REED-HARNISH APRN
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Gender | Male
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 8383 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32514-6039
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Country | US
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Telephone | 850-494-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 SAWMILL CIR
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City | PACE
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State | FL
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Zip | 32571-6823
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Country | US
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Telephone | 813-751-4901
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11024551
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11024551
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License Number State | FL
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