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General NPI Number Information
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NPI Number | 1437328580
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Entity Type | Organization
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Legal Business Name | SJHARLEYMDPA
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 1249 HENDERSONVILLE RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-1904
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Country | US
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Telephone | 828-274-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 1249 HENDERSONVILLE RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-1904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEWART J HARLEY
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Credential |
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Telephone | 828-274-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 20801
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License Number State | NC
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