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General NPI Number Information
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NPI Number | 1215328463
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Entity Type | Individual
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Provider Name | TRAVIS HARPER
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Gender | Male
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 6605 STONEY PT N
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City | NORFOLK
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State | VA
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Zip | 23502-3907
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Country | US
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Telephone | 757-746-7163
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Fax |
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Provider Business Mailing Address
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Address Line | 6605 STONEY PT N
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City | NORFOLK
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State | VA
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Zip | 23502-3907
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Country | US
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Telephone | 757-746-7163
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 332B00000X
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License Number State | VA
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