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General NPI Number Information
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NPI Number | 1689458333
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Entity Type | Individual
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Provider Name | SHEILA HARRIS
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Gender | Female
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1169 OAK VALLEY DR
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City | ANN ARBOR
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State | MI
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Zip | 48108-9674
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Country | US
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Telephone | 800-482-1455
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Fax |
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Provider Business Mailing Address
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Address Line | 45919 WILDRYE CT
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City | VAN BUREN TWP
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State | MI
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Zip | 48111-6407
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Country | US
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Telephone | 616-328-7545
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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