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General NPI Number Information
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NPI Number | 1972411478
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Entity Type | Organization
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Legal Business Name | HARRIS HEALTH COLLECTIVE, LLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/30/2026
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Provider Practice Location Address
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Address Line | 5357 CLIFF GOOKIN BLVD
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City | TUPELO
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State | MS
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Zip | 38801-7085
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Country | US
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Telephone | 662-871-1573
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Fax |
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Provider Business Mailing Address
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Address Line | 60 PERRY RD
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City | WEST POINT
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State | MS
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Zip | 39773-4886
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Country | US
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Telephone | 662-295-6936
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | EBONY HARRIS
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Credential | FNP-BC
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Telephone | 662-295-6936
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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 |
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License Number State |
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