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General NPI Number Information
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NPI Number | 1235642281
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Entity Type | Individual
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Provider Name | MARY KATHERINE HARMON APRN-CNP, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3875 E OVERLAND RD STE 108
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City | MERIDIAN
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State | ID
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Zip | 83642-9047
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Country | US
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Telephone | 208-297-5829
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Fax | 208-297-5769
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Provider Business Mailing Address
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Address Line | 3875 E OVERLAND RD STE 108
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City | MERIDIAN
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State | ID
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Zip | 83642-9047
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Country | US
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Telephone | 208-297-5829
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Fax | 208-297-5769
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2271450
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95007802
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License Number State | CA
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