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General NPI Number Information
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NPI Number | 1881450054
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Entity Type | Individual
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Provider Name | MADISON B HARKNESS APRN
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 15891 SILVERHILL AVE RM 25
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City | SILVERHILL
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State | AL
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Zip | 36576-3877
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Country | US
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Telephone | 850-934-5713
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Fax | 850-934-0379
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Provider Business Mailing Address
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Address Line | 2744 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32563-3091
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Country | US
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Telephone | 509-345-7138
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Fax | 850-934-0379
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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 | 1-151756
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License Number State | AL
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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 | APRN11031220
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License Number State | FL
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