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General NPI Number Information
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NPI Number | 1346045119
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Entity Type | Individual
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Provider Name | GERALD BRITTON HARPER III DPT
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Gender | Male
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 14215 BALLANTYNE CORPORATE PL STE 230
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City | CHARLOTTE
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State | NC
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Zip | 28277-3874
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Country | US
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Telephone | 980-488-9480
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Fax |
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Provider Business Mailing Address
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Address Line | 15432 COVENTRY COURT LN
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City | CHARLOTTE
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State | NC
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Zip | 28277-1919
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Country | US
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Telephone | 704-975-7769
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P23811
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License Number State | NC
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