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General NPI Number Information
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NPI Number | 1487849600
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Entity Type | Individual
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Provider Name | ANNA MICHELLE HARRIS D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 181 WEBB DR STE A
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City | DAVENPORT
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State | FL
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Zip | 33837-3964
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Country | US
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Telephone | 863-419-1235
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Fax | 863-419-9525
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Provider Business Mailing Address
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Address Line | 6722 FAIRWAY COVE DR
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City | ORLANDO
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State | FL
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Zip | 32835-5746
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Country | US
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Telephone | 718-644-9856
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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 | 222518-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS11429
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License Number State | FL
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