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General NPI Number Information
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NPI Number | 1336694090
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Entity Type | Individual
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Provider Name | ANORA HARRIS CPNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 1405 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1060
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Country | US
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Telephone | 404-785-1112
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Fax | 404-785-6288
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | C-APN.0100555-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN209153
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License Number State | GA
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