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General NPI Number Information
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NPI Number | 1093039364
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Entity Type | Organization
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Legal Business Name | LISA R.V. HARPER M.D., P.C.
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 3022 JAVIER RD SUITE 110B
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City | FAIRFAX
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State | VA
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Zip | 22031-4645
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Country | US
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Telephone | 703-560-7600
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Fax | 703-560-4935
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Provider Business Mailing Address
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Address Line | 3022 JAVIER RD SUITE 110B
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City | FAIRFAX
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State | VA
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Zip | 22031-4645
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Country | US
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Telephone | 703-560-7600
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Fax | 703-560-4935
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA R.V. HARPER
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Credential | M.D.
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Telephone | 703-560-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101036121
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License Number State | VA
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