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General NPI Number Information
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NPI Number | 1790465813
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Entity Type | Individual
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Provider Name | CHYANNE HARRINGTON
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Gender | Female
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 4250 COOK RD
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City | HOUSTON
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State | TX
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Zip | 77072-1115
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Country | US
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Telephone | 806-283-3926
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Fax |
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Provider Business Mailing Address
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Address Line | 8877 LAKES AT 610 DR APT 404
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City | HOUSTON
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State | TX
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Zip | 77054-2584
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Country | US
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Telephone | 806-283-3926
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT6183
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License Number State | TX
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