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General NPI Number Information
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NPI Number | 1275905937
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Entity Type | Individual
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Provider Name | DEANN HARRISON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 4232 HERITAGE TRACE PKWY
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City | FORT WORTH
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State | TX
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Zip | 76244-5375
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Country | US
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Telephone | 817-447-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 SPANISH NEEDLE TRL
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City | FORT WORTH
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State | TX
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Zip | 76177-7208
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Country | US
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Telephone | 817-715-6451
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP129420
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License Number State | TX
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