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General NPI Number Information
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NPI Number | 1962453043
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Entity Type | Individual
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Provider Name | JASON HARRIS APRN
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 33 WINDHAM RD
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City | PELHAM
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State | NH
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Zip | 03076-2372
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Country | US
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Telephone | 603-577-2273
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Fax | 603-635-5441
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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Country | US
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Telephone |
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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 | 15411
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License Number State | CT
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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 | 056047-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 236916
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 056047-23
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License Number State | NH
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