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General NPI Number Information
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NPI Number | 1811326473
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Entity Type | Individual
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Provider Name | PAIGE WATSON HARRIS NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 1044 WASHINGTON AVE STE 102
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City | MACON
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State | GA
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Zip | 31201-0655
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Country | US
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Telephone | 478-795-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 229 STACY LN
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City | WARNER ROBINS
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State | GA
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Zip | 31088-1176
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Country | US
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Telephone | 229-724-8623
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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 | 71004704A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71004704B
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN203807
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License Number State | GA
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