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General NPI Number Information
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NPI Number | 1487703609
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Entity Type | Individual
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Provider Name | PAULA HARRISON NP-C, CRNFA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 2145 IRONSIDE DR
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City | PLANO
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State | TX
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Zip | 75075-3011
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Country | US
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Telephone | 214-794-8559
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 940387
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City | PLANO
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State | TX
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Zip | 75094-0387
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 051658
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A0608097
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License Number State | TX
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