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General NPI Number Information
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NPI Number | 1215737721
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Entity Type | Organization
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Legal Business Name | HARVEST HEALTHCARE CONSULTANTS LLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 5219 MONTICELLO AVE UNIT 5325
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-0612
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Country | US
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Telephone | 757-448-7971
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Fax |
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Provider Business Mailing Address
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Address Line | 5219 MONTICELLO AVE UNIT 5325
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-0612
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Country | US
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Telephone | 757-448-7971
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON MARIE MCDONNELL
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Credential |
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Telephone | 757-984-7155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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