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General NPI Number Information
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NPI Number | 1528224508
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Entity Type | Individual
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Provider Name | LATONYA HARRIS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 400 W PERSHING BLVD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-2146
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Country | US
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Telephone | 501-771-7717
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Fax | 501-771-0550
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Provider Business Mailing Address
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Address Line | 400 W PERSHING BLVD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-2146
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Country | US
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Telephone | 501-771-7717
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Fax | 501-771-0550
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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 | A03115
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License Number State | AR
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