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General NPI Number Information
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NPI Number | 1588911705
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Entity Type | Individual
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Provider Name | KET MELVIN-HARRIS DNP, FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2455 ROBINSON RD STE 100
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051-3852
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Country | US
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Telephone | 469-626-8195
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Fax | 469-857-8492
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Provider Business Mailing Address
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Address Line | 750 E US HIGHWAY 80 STE 200-612
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City | FORNEY
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State | TX
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Zip | 75126-8722
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Country | US
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Telephone | 469-686-8195
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Fax | 469-857-8492
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP121985
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 848700
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License Number State | NV
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