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General NPI Number Information
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NPI Number | 1215144670
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Entity Type | Individual
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Provider Name | DAVID HARDMAN HARLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 13620 REESE BLVD E SUITE 110, BLDG XII
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6417
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Country | US
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Telephone | 704-840-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 7306 SWANSEA LN
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City | CORNELIUS
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State | NC
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Zip | 28031-8696
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Country | US
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Telephone | 704-840-9151
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | NC
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