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General NPI Number Information
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NPI Number | 1215931985
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Entity Type | Individual
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Provider Name | JOHN MORIN HARPENAU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 6601 WEST THOMAS ROAD
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City | PHOENIX
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State | AZ
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Zip | 85033
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Country | US
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Telephone | 602-243-7277
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Fax | 623-247-9742
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Provider Business Mailing Address
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Address Line | 2702 NORTH 3RD STREET SUITE 4020
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City | PHOENIX
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State | AZ
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Zip | 85004-4608
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Country | US
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Telephone | 602-323-3344
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Fax | 602-323-3496
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 23610
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License Number State | AZ
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