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General NPI Number Information
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NPI Number | 1891185203
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Entity Type | Individual
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Provider Name | KRISTINA HARPER CPM, LM
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Gender | Female
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 9086 PIGEON ROOST RD STE C
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City | OLIVE BRANCH
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State | MS
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Zip | 38654
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Country | US
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Telephone | 662-812-6115
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Fax | 662-532-5289
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Provider Business Mailing Address
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Address Line | 9086 PIGEON ROOST RD STE C
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-1627
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Country | US
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Telephone | 662-812-6115
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Fax | 662-532-5289
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 67
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License Number State | TN
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