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General NPI Number Information
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NPI Number | 1376008813
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Entity Type | Individual
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Provider Name | CAROLYN HARKNESS APRN
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Gender | Female
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 04/29/2023
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Provider Practice Location Address
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Address Line | 333 TAMIAMI TRAIL S SUITE 288
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City | VENICE
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State | FL
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Zip | 34285
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Country | US
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Telephone | 941-541-2297
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Fax | 941-200-4539
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Provider Business Mailing Address
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Address Line | 5429 UNIVERSITY PKWY # 1083
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City | UNIVERSITY PARK
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State | FL
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Zip | 34201-2012
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Country | US
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Telephone | 941-541-2297
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Fax | 941-200-4539
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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 | APRN11001365
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11001365
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License Number State | FL
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