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General NPI Number Information
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NPI Number | 1851816250
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Entity Type | Individual
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Provider Name | HALI HARRISON MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 800 E 20TH ST STE 350
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City | CHEYENNE
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State | WY
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Zip | 82001-3884
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Country | US
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Telephone | 307-633-7292
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Fax | 307-633-7998
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Provider Business Mailing Address
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Address Line | 2602 THOREAU DR
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City | FORT COLLINS
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State | CO
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Zip | 80524-1487
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Country | US
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Telephone | 479-629-2525
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 218
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License Number State | WY
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