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General NPI Number Information
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NPI Number | 1447258926
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Entity Type | Individual
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Provider Name | TIMOTHY JOHN HARPUR B.A.,M.A.,PH.D.,M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 990 SYLVAN WAY
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City | BREMERTON
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State | WA
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Zip | 98310-2851
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Country | US
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Telephone | 360-479-3657
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Fax | 360-373-7616
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Provider Business Mailing Address
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Address Line | 990 SYLVAN WAY
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City | BREMERTON
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State | WA
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Zip | 98310-2851
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Country | US
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Telephone | 360-479-3657
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Fax | 360-373-7616
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00042513
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License Number State | WA
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