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General NPI Number Information
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NPI Number | 1982253670
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Entity Type | Individual
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Provider Name | CHRISTINE CHARLENE HARRIS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 11200 LINCOLN HWY
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City | MOKENA
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State | IL
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Zip | 60448-8208
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Country | US
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Telephone | 773-968-6253
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Fax |
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Provider Business Mailing Address
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Address Line | 11114 S HARLEM AVE
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City | WORTH
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State | IL
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Zip | 60482-3554
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Country | US
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Telephone | 224-607-4063
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4008566
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License Number State | KY
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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 | 10047951
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209019584
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14092-33
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14235306-4405
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10540
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License Number State | MN
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 114637
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License Number State | NE
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R54645
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License Number State | ND
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14-159208-011
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License Number State | KS
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 224725
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License Number State | AR
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025034368
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License Number State | MO
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A174959
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License Number State | IA
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CP002822
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License Number State | SD
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