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NPI Code Detail

MEDICARE: STEVE HARVEY

MEDICARE: STEVE HARVEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant3296NM

General Provider Information

NPI Number : 1447649892
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE HARVEY
Provider Business Mailing Address
First Line : PO BOX 11741
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87192-0741
Country : US
Telephone Number : 505-400-1597
Fax Number :
Provider Business Practice Location Address
First Line : 1831 CAMINO DEL LLANO
Second Line :
City : BELEN
State : NM
Zip : 87002-2619
Country : US
Telephone Number : 505-400-1597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 01/22/2015

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Directions to “ STEVE HARVEY ” Practice Location

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