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General NPI Number Information
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NPI Number | 1386142024
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Entity Type | Individual
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Provider Name | DANYEIL HARVEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 108 MEDICAL CENTER BLVD STE G50
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-2741
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Country | US
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Telephone | 931-438-4111
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Fax | 931-438-6108
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Provider Business Mailing Address
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Address Line | 103 CARNEGIE LOOP
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City | MERIDIANVILLE
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State | AL
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Zip | 35759-1646
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Country | US
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Telephone | 256-655-5726
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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 | 23723
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License Number State | TN
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