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General NPI Number Information
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NPI Number | 1376902023
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Entity Type | Individual
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Provider Name | LISA HOLIDAY HARMON FNP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 17007 DAWN SHADOWS DR
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City | HUMBLE
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State | TX
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Zip | 77346-4547
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Country | US
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Telephone | 832-643-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 16300 KUYKENDAHL RD STE 410
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City | HOUSTON
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State | TX
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Zip | 77068-2751
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Country | US
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Telephone | 832-666-7974
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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 | AP130367
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License Number State | TX
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