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General NPI Number Information
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NPI Number | 1508336397
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Entity Type | Individual
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Provider Name | YASMINE HARRIS
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Gender | Female
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 2000 BENNETTS CREEK PARK RD
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City | SUFFOLK
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State | VA
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Zip | 23435-3349
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Country | US
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Telephone | 313-575-8949
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 TURTLE POND CT
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City | SUFFOLK
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State | VA
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Zip | 23434-3640
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001204325
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 0001204325
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 0001204325
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 0001204325
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 0001204325
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 0001204325
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 0001204325
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License Number State | VA
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