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General NPI Number Information
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NPI Number | 1992156863
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Entity Type | Individual
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Provider Name | BRITTANY KELLY HARRIS NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 643 W SERVICE DR
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City | COLDWATER
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State | MS
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Zip | 38618-3822
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Country | US
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Telephone | 662-233-5200
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Fax | 662-233-5200
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Provider Business Mailing Address
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Address Line | 510 HIGHWAY 322
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City | CLARKSDALE
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State | MS
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Zip | 38614-4717
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Country | US
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Telephone | 662-624-4292
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Fax | 662-351-3303
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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 | 24169
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License Number State | TN
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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 | MS901594
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License Number State | MS
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