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General NPI Number Information
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NPI Number | 1124372776
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Entity Type | Individual
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Provider Name | WILLARD HARMS MD
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Gender | Male
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 4101 PERCIVAL RD
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City | COLUMBIA
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State | SC
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Zip | 29229-8320
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Country | US
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Telephone | 803-264-3873
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Fax |
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Provider Business Mailing Address
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Address Line | 10120 TWO NOTCH RD STE 2
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City | COLUMBIA
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State | SC
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Zip | 29223-4385
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Country | US
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Telephone | 803-264-3873
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036081363
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 34702
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11945
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License Number State | OK
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