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General NPI Number Information
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NPI Number | 1023023793
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Entity Type | Individual
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Provider Name | HARVEY SHELDON ST. CLAIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 171 KEMPSVILLE RD BUILDING A
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City | NORFOLK
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State | VA
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Zip | 23502-4700
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Country | US
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Telephone | 757-668-6550
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Fax | 757-668-6544
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Provider Business Mailing Address
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Address Line | PO BOX 741593
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City | ATLANTA
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State | GA
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Zip | 30374-1593
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Country | US
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Telephone | 757-668-8544
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Fax | 757-668-6544
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 0101036643
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License Number State | VA
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