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General NPI Number Information
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NPI Number | 1700813581
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Entity Type | Individual
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Provider Name | JANNA HARRIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 5665 PEACHTREE DUNWOODY RD NE SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30342-1764
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Country | US
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Telephone | 404-252-6104
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Fax | 404-257-1808
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Provider Business Mailing Address
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Address Line | 1838 AMERICAN WAY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-6611
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Country | US
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Telephone | 770-995-7622
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Fax | 770-995-7854
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT830
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9112078
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5762
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110010216
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9112078
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA062343
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License Number State | PA
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