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General NPI Number Information
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NPI Number | 1396825618
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Entity Type | Individual
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Provider Name | NIEKA HARRIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 6000 W HIGHWAY 98 NAVAL HOSPITAL PENSACOLA INTERNAL MEDICINE DEPARTMENT
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City | PENSACOLA
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State | FL
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Zip | 32507-0001
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Country | US
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Telephone | 850-505-7044
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Fax |
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Provider Business Mailing Address
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Address Line | 620 JOHN PAUL JONES CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-5000
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101242128
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | TL6038
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101242128
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 95426
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License Number State | SC
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