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General NPI Number Information
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NPI Number | 1104199322
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Entity Type | Individual
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Provider Name | FREDERICK JON HARMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 02/18/2012
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Last Update Date | 02/18/2012
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Provider Practice Location Address
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Address Line | 2155 LANCASTER DR NE
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City | SALEM
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State | OR
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Zip | 97305-1228
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Country | US
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Telephone | 503-588-8173
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Fax |
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Provider Business Mailing Address
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Address Line | 6121 SANTIAM SPRINGS CT SE
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City | SALEM
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State | OR
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Zip | 97317-9544
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Country | US
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Telephone | 503-508-2468
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8694
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License Number State | OR
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