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General NPI Number Information
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NPI Number | 1326668724
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Entity Type | Individual
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Provider Name | DAWN L HARRIS APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/26/2020
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Last Update Date | 09/08/2024
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Provider Practice Location Address
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Address Line | 2952 FIRETHORN AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-1729
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Country | US
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Telephone | 352-494-6055
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Fax |
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Provider Business Mailing Address
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Address Line | 6625 ARGYLE FOREST BLVD STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6126
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Country | US
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Telephone | 904-441-0775
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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 | APRN11028602
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN9217064
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License Number State | FL
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