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General NPI Number Information
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NPI Number | 1013241421
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Entity Type | Individual
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Provider Name | AMBER ROSE HARVEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 7601 SEMINOLE BLVD STE A
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City | SEMINOLE
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State | FL
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Zip | 33772-4868
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Country | US
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Telephone | 727-828-6340
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Fax | 727-828-6341
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Provider Business Mailing Address
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Address Line | 501 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA 9106408
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License Number State | FL
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