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General NPI Number Information
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NPI Number | 1851821755
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Entity Type | Individual
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Provider Name | MRS. JULIE HARRIS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 9900 BREN ROAD EAST MAIL ROUTE MN 008-B213
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City | MINNETONKA
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State | MN
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Zip | 55343-7918
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Country | US
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Telephone | 479-409-5899
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Fax |
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Provider Business Mailing Address
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Address Line | 220 RAINBOW DR # 12033
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City | LIVINGSTON
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State | TX
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Zip | 77399-2020
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Country | US
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Telephone | 479-409-5899
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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 | R0125343
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License Number State | OK
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