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General NPI Number Information
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NPI Number | 1063811693
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Entity Type | Individual
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Provider Name | FLORA HARP RPH
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 6055 NATHAN LN N SUITE 200
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City | PLYMOUTH
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State | MN
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Zip | 55442-1674
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Country | US
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Telephone | 763-513-4369
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Fax | 763-248-7597
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Provider Business Mailing Address
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Address Line | 6055 NATHAN LN N SUITE 200
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City | PLYMOUTH
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State | MN
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Zip | 55442-1674
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Country | US
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Telephone | 763-513-4369
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Fax | 763-248-7597
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 120824
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH04943
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302037304
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License Number State | MI
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