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NPI 1720531494

NPI 1720531494 : SARAH HARRIS RN, MSN, FNP-C, CPN : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1720531494
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH HARRIS RN, MSN, FNP-C, CPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2016
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    Last Update Date     |    07/29/2016
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Provider Practice Location Address
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    Address Line         |    2401 GILLHAM RD GZ EMERGENCY DEPARTMENT
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64108-4619
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    Country              |    US
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    Telephone            |    816-234-3430
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2401 GILLHAM RD GZ EMERGENCY DEPARTMENT
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64108-4619
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    Country              |    US
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    Telephone            |    816-234-3430
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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        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    2016020585
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    77294
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    License Number State |    KS
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