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General NPI Number Information
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NPI Number | 1902186752
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Entity Type | Individual
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Provider Name | CHRISTINE SUE HARRINGTON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 7470 BROCKWAY RD
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City | BROCKWAY
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State | MI
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Zip | 48097-3458
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Country | US
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Telephone | 810-387-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 7141 STATE RD
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City | BURTCHVILLE
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State | MI
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Zip | 48059-1815
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Country | US
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Telephone | 810-385-8806
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704146401
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License Number State | MI
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