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General NPI Number Information
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NPI Number | 1528925682
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Entity Type | Individual
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Provider Name | JASON ANDREW HARRELL ACNPC-AG
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Gender | Male
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 710 CENTER ST
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City | COLUMBUS
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State | GA
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Zip | 31901-1527
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Country | US
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Telephone | 706-571-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5802 BILLINGS RD
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City | COLUMBUS
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State | GA
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Zip | 31909-4272
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Country | US
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Telephone | 706-987-2329
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | RN193502
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License Number State | GA
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