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General NPI Number Information
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NPI Number | 1558530980
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Entity Type | Individual
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Provider Name | JULIE DIANE HARRIS RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 6425 S IH 35 STE 100
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City | AUSTIN
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State | TX
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Zip | 78744-4230
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Country | US
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Telephone | 512-744-6000
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Fax | 512-225-6520
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Provider Business Mailing Address
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Address Line | 9411 N LAMAR BLVD STE 120
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City | AUSTIN
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State | TX
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Zip | 78753
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Country | US
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Telephone | 512-583-9679
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Fax | 512-233-0985
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP119939
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License Number State | TX
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