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General NPI Number Information
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NPI Number | 1659244242
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Entity Type | Individual
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Provider Name | JANEL NICOLE HARPER PH.D
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 630 S 36TH AVE
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City | WAUSAU
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State | WI
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Zip | 54401-3930
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Country | US
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Telephone | 715-842-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 5107 E TONIKO DR
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City | PHOENIX
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State | AZ
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Zip | 85044-2815
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Country | US
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Telephone | 602-405-0027
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5447-57
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License Number State | WI
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