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General NPI Number Information
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NPI Number | 1912631466
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Entity Type | Individual
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Provider Name | DEANNA MARIE HARRIS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1194 OAK VALLEY DR STE 80B
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City | ANN ARBOR
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State | MI
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Zip | 48108-8942
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Country | US
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Telephone | 734-975-5000
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Fax | 734-975-0376
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Provider Business Mailing Address
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Address Line | PO BOX 40412
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City | BELFAST
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State | ME
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Zip | 04915-1255
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Country | US
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Telephone | 248-824-6500
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Fax | 855-618-6655
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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 | 4704284171
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License Number State | MI
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