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General NPI Number Information
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NPI Number | 1699399279
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Entity Type | Individual
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Provider Name | JUSTIN WALTER HARRINGTON APRN FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/30/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 6160 SW STATE ROAD 200 # 119
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City | OCALA
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State | FL
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Zip | 34476-8307
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Country | US
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Telephone | 352-233-4178
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Fax |
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Provider Business Mailing Address
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Address Line | 483 SE 42ND ST
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City | KEYSTONE HEIGHTS
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State | FL
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Zip | 32656-6247
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Country | US
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Telephone | 352-473-8985
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11007280
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License Number State | FL
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