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General NPI Number Information
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NPI Number | 1386500486
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Entity Type | Individual
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Provider Name | WILLIAM COLTON HARRIS FNP
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Gender | Male
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 571 MITCHELL ST # C
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City | GUNTOWN
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State | MS
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Zip | 38849-8500
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Country | US
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Telephone | 662-348-3342
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Fax |
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Provider Business Mailing Address
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Address Line | 343 COUNTY ROAD 8061
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City | BOONEVILLE
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State | MS
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Zip | 38829-9754
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 907789
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License Number State | MS
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