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General NPI Number Information
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NPI Number | 1417521030
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Entity Type | Individual
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Provider Name | ALYSHA HARRIS CHP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 190 NE 91ST ST
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City | KANSAS CITY
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State | MO
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Zip | 64155-3329
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Country | US
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Telephone | 816-602-6743
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Fax |
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Provider Business Mailing Address
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Address Line | 8160 N THOMAS MEYERS DR APT G
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City | KANSAS CITY
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State | MO
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Zip | 64118-9512
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Country | US
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Telephone | 816-602-6743
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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