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General NPI Number Information
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NPI Number | 1588337729
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Entity Type | Individual
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Provider Name | ADAM MATTHEW HARMON DNP CPNP-AC
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Gender | Male
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Dates
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Enumeration Date | 07/25/2021
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1975 4TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2351
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Country | US
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Telephone | 415-476-5153
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 4TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2351
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Country | US
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Telephone | 415-476-5153
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 53-80323-042
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 2021025121
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 95034277
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License Number State | CA
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