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General NPI Number Information
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NPI Number | 1710897798
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Entity Type | Individual
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Provider Name | JENNA LAUREL HARMON RN
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 720 E LATHAM AVE
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City | HEMET
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State | CA
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Zip | 92543-4364
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Country | US
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Telephone | 909-825-7084
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Fax | 951-900-2053
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Provider Business Mailing Address
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Address Line | 25840 JUNIPER FLATS RD
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City | HOMELAND
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State | CA
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Zip | 92548-9324
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Country | US
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Telephone | 949-412-4106
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 727051
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License Number State | CA
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