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General NPI Number Information
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NPI Number | 1437675964
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Entity Type | Individual
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Provider Name | FAITH E. HARMISON APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 314 GOFF MOUNTAIN RD STE 3
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City | CROSS LANES
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State | WV
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Zip | 25313-6600
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Country | US
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Telephone | 304-388-7080
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Fax | 304-388-7090
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Provider Business Mailing Address
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Address Line | 314 GOFF MOUNTAIN RD STE 3
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City | CROSS LANES
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State | WV
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Zip | 25313-6600
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Country | US
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Telephone | 304-388-7080
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Fax | 304-388-7090
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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 | APRN61814-FNP-BC
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License Number State | WV
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