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NPI Code Detail

MEDICARE: MR. RALPH HARVEY III

MEDICARE:  MR. RALPH  HARVEY III
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
1103K00000XBehavior Analyst10D2068987FL

General Provider Information

NPI Number : 1982025417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RALPH HARVEY III
Provider Business Mailing Address
First Line : 2771 HYPOLUXO RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33462-3826
Country : US
Telephone Number : 561-843-4877
Fax Number : 561-413-2510
Provider Business Practice Location Address
First Line : 2240 W WOOLBRIGHT RD STE 322
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-6364
Country : US
Telephone Number : 561-843-4877
Fax Number : 561-413-2510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2013
Last Update Date : 12/31/2013

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